| NPI | 1093277782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT BRUNO CEO 541-234-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 163WP0000X Registered Nurse Pain Management | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QP3300X Clinic/Center Pain | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-24 |