| NPI | 1659806776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE R RASK President 503-880-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9772) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |