| NPI | 1598149791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE D APPLEGATE Owner 503-775-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8502) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |