| NPI | 1477598159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ANN SOFICH Administrator 503-229-7353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2009-04-22 |