| 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 |