| NPI | 1477813582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DODIE RACHEL NOLES COO 541-488-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OR MD157375) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |