| NPI | 1316104615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE ROWE FORD Owner 541-420-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2024-02-21 |