| NPI | 1417138769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY N OTTO Physician 503-297-4123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR MD18878) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2010-12-20 |