| NPI | 1477726321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY S NEVINS Offie Manager 503-585-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR 6248) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |