| NPI | 1780637660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T. CHEN Sole Proprietor 503-372-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA OP00001215) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA OP00001215) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |