| NPI | 1780278010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED BORROMEO Owner/Dentist 503-566-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2024-04-25 |