NPI | 1225650864 |
---|---|
Doing Business As | EVERGREEN REGENERATIVE MEDICINE & REHABILITATION |
Entity Type | Organization |
Authorized Contact | DAVID EDISON HARRIS Owner 541-414-0450 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2020-05-16 |
Last Update Date | 2020-05-16 |