| NPI | 1750548137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LI LI ZHENG D AO M, Lac 503-819-7944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR AC00670) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |