| NPI | 1740842467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG GILLIS Physician 503-850-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2020-05-18 |