NPI | 1558548529 |
---|---|
Doing Business As | DR. JOEL'S CLINIC |
Entity Type | Organization |
Authorized Contact | JOEL A AMUNDSON Provider Owner 503-342-2180 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2008-01-22 |
Last Update Date | 2018-04-12 |