| NPI | 1699943126 |
|---|---|
| Doing Business As | SKIN CANCER SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREA PENA Clinic Manager 503-691-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR 23409) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2024-01-11 |