NPI | 1932109840 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE LYNN SNOOK Assistant Administrator 503-517-9612 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR 7054604) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2020-08-22 |