| NPI | 1134368616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE M CARTER President 503-601-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-09-24 |