| NPI | 1528357779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA A KORMAN Owner 503-227-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: OR 17854) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2012-04-25 |