| NPI | 1497077903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIAO LI Owner Dentist 503-561-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR D8587) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |