| NPI | 1447632328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON KIMBERLAY THIRINGER Administrative Manager/Partner 503-648-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2022-04-19 |