| NPI | 1790819548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTEL ANNE COCHELL Secretary Treasurer 503-585-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8613) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |