NPI | 1871819573 |
---|---|
Doing Business As | BAYSHORE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | SYDNEY THOMPSON Practice Administrator 503-965-6555 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD13058) |
Enumeration Date | 2010-04-20 |
Last Update Date | 2010-04-20 |