| NPI | 1619188711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J. KAIP Dr. Mark Kaip, D.D. S., P.C. 503-222-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 4961) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR 7987) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |