| NPI | 1497474993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHAN Owner 503-953-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |