| NPI | 1871875401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RALPH DUFFIN Dentist/Owner 503-682-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D7025) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |