| NPI | 1871837468 |
|---|---|
| Doing Business As | EAST PORTLAND UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BECKY JO BREWER Office Manager 503-254-6418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OR MD12620) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |