| NPI | 1891025854 |
|---|---|
| Doing Business As | AESTHETIC MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JERRY DARM President 503-697-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR MD10790) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |