| 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 | 2025-09-11 |