| NPI | 1992071278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J PALUSKA Office Manager 503-362-5019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 7049) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |