| NPI | 1447389002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE RYBLOOM Office Manager 503-977-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO17335) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-02-12 |