| NPI | 1386146405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA BINFORD Credentialing Coordinator 541-868-0873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |