| NPI | 1437660768 |
|---|---|
| Doing Business As | MUSCULOSKELETAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LORA PETERSON Clinic Manager 541-541-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2019-07-16 |