| NPI | 1457555666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD KEIM GOERING Owner 503-236-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR 433453) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 433453) |
| 208100000X Physical Medicine & Rehabilitation (Licence: OR 433453) | |
| 363A00000X Physician Assistant (Licence: OR 433453) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2008-07-08 |