| NPI | 1699752899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SCOTT SHAFFER President 503-297-1078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 208800000X Urology (Licence: OR md18741) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2008-08-18 |