| NPI | 1891706438 |
|---|---|
| Other Name | GARY TAKAHASHI MD |
| Entity Type | Organization |
| Authorized Contact | PATRICIA COSGROVE COO 503-203-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: OR 26824) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-02-13 |