| NPI | 1659381788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHARLES AUSTIN Physician 503-922-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OR MD26733) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD26733) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-01-21 |