NPI | 1962665232 |
---|---|
Doing Business As | WILLAMETTE FALLS MEDICAL GROUP GENERAL SURGERY |
Entity Type | Organization |
Authorized Contact | TROY L BLOMQUIST Director 503-557-2917 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Enumeration Date | 2008-07-08 |
Last Update Date | 2008-07-14 |