| NPI | 1881866788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE HALL Office Manager 503-232-3102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 7195) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |