| NPI | 1215382437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MICHAELIS Credentialing Specialist 541-808-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |