| NPI | 1578664819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KATI MARECEK Office Manager 503-644-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D8687) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-03-07 |