| NPI | 1619273844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY DILLARD President 503-897-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OR MD28838) |
| Enumeration Date | 2011-02-05 |
| Last Update Date | 2011-03-08 |