| NPI | 1366500589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GESSELE Administrator 541-684-9451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |