| NPI | 1548625585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C PIERCE Partner 503-561-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: OR PA172663) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |