| NPI | 1265062202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN L. HEATH Owner 503-484-6128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |