| 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 |