NPI | 1962543256 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ALAN SIKER Physician Director 503-579-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: OR MD22182) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2007-11-21 |