| NPI | 1811224504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE' A SANSOM Bookkeeper 503-642-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD08290) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |