| NPI | 1427266246 |
|---|---|
| Doing Business As | SUNNYSIDE INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TROY L BLOMQUIST Director 503-557-2917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |