NPI | 1124316567 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS A MONREAL Business Manager 503-967-6771 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2011-07-19 |
Last Update Date | 2023-11-27 |