| NPI | 1174871552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELENA BLACKBURN Vice President 541-255-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OR 22132) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |