| NPI | 1467453316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ELIZABETH WONG President 503-256-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD18458) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G70228) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2023-05-22 |