| NPI | 1457221103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT WILLIAMS CEO 503-344-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |