| NPI | 1780695601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN R ELKJER Owner/President 503-292-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 6586) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |