| NPI | 1942702642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOUIS TATSUMI Owner/Physician 503-828-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2019-03-27 |