NPI | 1467559286 |
---|---|
Doing Business As | WILLAMETTE VALLEY DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | TROY RICHEY Owner Proprietor 541-344-4168 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD20398) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2023-12-19 |