| NPI | 1952622508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JEFFERSON SADDORIS Physician Owner 503-262-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD10197) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |