| NPI | 1881611549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD M GRAITZER Owner 503-872-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OR DO18678) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-06-20 |