| NPI | 1265896955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON EDWARDS Owner/Manager 503-673-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2019-08-12 |