| NPI | 1427200021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM K GUEST Admin 503-850-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2024-04-05 |