| NPI | 1699051730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALEIGH SCOTT PIOCH President 503-399-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9000) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D8928) |
| 1223G0001X Dentist, General Practice (Licence: OR D9676) | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-07 |