| NPI | 1932387313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY WALTER BOHNSTEDT President 503-255-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR 6260) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |