| NPI | 1497293054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M BOOHER Administrator 541-420-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD152056) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |