| NPI | 1639606965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY A CHAMBERLAIN Owner 503-363-8625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8215) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2018-03-17 |