| NPI | 1427301035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JOHN WEDLAKE Director 541-864-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR DO16364) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |