| NPI | 1457808321 |
|---|---|
| Doing Business As | SPROUT PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DORIN KEMMERLE Manager 503-877-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR MD22473) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-12-12 |