NPI | 1619272614 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN DOWNS Manager/Director 503-381-5255 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NC 200301349) |
Enumeration Date | 2011-01-21 |
Last Update Date | 2011-01-21 |