| NPI | 1881969244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ROY CHRISTIANSEN Owner 503-363-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR D5856) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-20 |