| NPI | 1588955314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L SCHLACTUS CEO 503-315-7338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-05-16 |