| NPI | 1801829080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L. INGRAM President 503-372-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |