| NPI | 1659651131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUXANDRA M. COSTA CORPACIU Owner/ Solo Proprieter 503-935-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR MD25141) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2011-08-28 |