| NPI | 1962845453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARON GEELAN Dentist 503-223-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9499) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H1576) |
| 124Q00000X Dental Hygienist (Licence: OR H4563) | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-22 |