| NPI | 1861677635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROGER STARR Physician 503-717-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OR 7129) |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2007-12-29 |