| NPI | 1295075984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK BERNDT Owner 541-588-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OR MD25340) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2022-05-18 |