| NPI | 1952550048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERWIN WEICHEL Periodontist/Owner 503-691-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OR D5369) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |