| NPI | 1497146534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER B FRANKEL Owner 503-390-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8980) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2021-07-27 |