| NPI | 1992109557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM JOANNE ZUTAVERN COMBS Office Manager 503-655-9727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OR MD15245) |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: OR MD15245) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |