| NPI | 1639383466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE MICHAEL WILLIS President 503-206-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OR MD22738) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |