| NPI | 1447681648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DEE TAYLOR Owner 503-409-8491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZA2600X Specialist/Technologist, Other, Art, Medical (Licence: OR BAP-TA-10140017) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |