| NPI | 1952733420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN REED WESTOVER Owner 503-657-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7444) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |