| NPI | 1578689659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL M PAYNTER President 503-666-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8720) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |