| NPI | 1770628976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R. ANDERSON President 503-761-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D7285) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |