| NPI | 1558801597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEL DUDLEY DORAN Dentist 503-224-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9708) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |