| NPI | 1518053305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL DAVEN President 541-672-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: OR MD16514) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |