| NPI | 1447848023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CROWE Managing Member/Orthodontist 503-289-1992 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |