| NPI | 1790229888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK JAMES KRATOCHVIL Owner 503-906-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |