| 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 |