| NPI | 1487976056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE CHADWICK WALKER Dentist 503-659-2522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D7111) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |