| NPI | 1992999536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D. HEROS Owner / Member 503-364-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR MD27619) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2008-03-06 |