NPI | 1679790604 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK THOMAS O'HOLLAREN Owner 503-228-0155 |
Organization Subpart ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: OR 13450) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-08-22 |