NPI | 1922304302 |
---|---|
Entity Type | Organization |
Authorized Contact | AUSTIN UNDERWOOD SARGENT President/Owner 503-666-5025 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: OR MD21072) |
Enumeration Date | 2011-02-02 |
Last Update Date | 2011-02-02 |