| NPI | 1750643060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDERSON Owner 503-489-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD26880) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: OR MD26880) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2013-02-24 |