NPI | 1790937662 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL R. VAN ALLEN Physician 503-692-8907 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2008-10-22 |
Last Update Date | 2019-08-20 |