| NPI | 1528178704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE CHIN Secretary/Dentist 503-643-7502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 6631) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |