| NPI | 1497931703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BUCHLER President 503-806-2539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 56277) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 56662) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |