NPI | 1962704304 |
---|---|
Entity Type | Organization |
Authorized Contact | FLOYD DOUGLAS DAY Owner/Physician 503-282-2502 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: OR MD05881) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD05881) |
208100000X Physical Medicine & Rehabilitation (Licence: OR MD05881) | |
Enumeration Date | 2010-11-17 |
Last Update Date | 2012-10-24 |