| NPI | 1699770875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN STEPHEN DOYEL Owner 503-925-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D7348, D7682) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-08-22 |