| NPI | 1619358256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY DONALD CHAMBERS President 503-665-9737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR 5583) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |