| NPI | 1568707883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WESTON President/Physician 503-675-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OR mD22218) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |