| NPI | 1427396266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN DEERING-LARSON Surgical First Assistant 503-869-8729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: OR 103817) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |