NPI | 1982921607 |
---|---|
Entity Type | Organization |
Authorized Contact | NAVEEN SACHDEV Provider 503-297-8640 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OR MD14129) |
Enumeration Date | 2010-04-21 |
Last Update Date | 2010-04-21 |