NPI | 1487929980 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDELL KING President 503-588-0061 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8468) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2012-03-15 |
Last Update Date | 2023-03-28 |