| NPI | 1801098108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL JENKINS Doctor 503-297-3178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OR MD12771) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2012-05-18 |