| NPI | 1972972339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL K. WEISSMAN Doctor/ Owner 503-274-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6462) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |