| NPI | 1396783023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ALAN MCCLUSKEY Owner Operator 503-382-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OR 648952) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-05-14 |