| NPI | 1841715273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINH NGUYEN Office Manager 503-432-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: OR D9881) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |