| NPI | 1477092005 |
|---|---|
| Doing Business As | ASPEN PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JON CLINE Owner 503-364-9242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 7586) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |