| NPI | 1447525852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT ALLEN UEECK President 503-924-2323 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: OR MD25889) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |