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 |