NPI | 1508130121 |
---|---|
Doing Business As | EAST PORTLAND TENDERCARE |
Entity Type | Organization |
Authorized Contact | ROBERT THOMPSON President/Owner 503-771-5444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D4676) |
Enumeration Date | 2012-02-29 |
Last Update Date | 2012-02-29 |