| NPI | 1235950064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROSENBERG Owner 503-867-5219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-11-25 |