| NPI | 1962543710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDRA UPPAL Administrator 503-257-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2009-09-11 |