| NPI | 1013395045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GROSSMAN Owner 541-604-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: OR 1106622-93) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |