| NPI | 1881100097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ERIKA CSANKY Sole Owner 503-505-3628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: ID M-11559) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2020-06-19 |