| NPI | 1407897200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY B VAN ORMAN Owner 503-675-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR d7342) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |