| 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 |