| NPI | 1881082097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SHIPLEY Director 503-684-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D10037) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |