| NPI | 1750505749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH KASARANENI Physician 503-659-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD25196) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |