| NPI | 1639696016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWASOLA OLAMIKAN Owner 503-489-7652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX P1378) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |