| NPI | 1942419569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W BERGSTROM President 503-274-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-10-14 |