| NPI | 1629119219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYLAND MARK HARWOOD Dentist 503-623-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 4524) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |