| NPI | 1457548943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART L CARTER Member 503-588-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D8869) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |