| NPI | 1831110592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDI R CRANE Office Manager 503-761-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 5016) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |