| NPI | 1902080732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ANN BOEH-NEAL Accounts Manager 503-254-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR md16800) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |