| NPI | 1427193622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HAROLD MCEWEN Ort 503-681-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: OR 02-211) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |