NPI | 1982630216 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL SCOTT GLANTZ Secretary/Treasurer 503-338-3803 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD20763) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD20748) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2008-02-18 |