| NPI | 1487006235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE SCHLIMGEN Office Manager 503-657-7629 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD16593) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |