| NPI | 1609041623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY L HARTMAN President 503-690-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR 6533) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |