| NPI | 1790999316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN RUSSELL PIKE President 503-297-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR 4162) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |