| NPI | 1699034082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC T. IWAHIRO Dentist 503-393-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7121) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |