| NPI | 1659652683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBER RAMIREZ-RODRIGUEZ Director 503-329-9254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H5902) |
| Enumeration Date | 2011-09-04 |
| Last Update Date | 2011-09-04 |