NPI | 1528346129 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN M SILLS Medical Director 541-779-1435 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 171100000X Acupuncturist |
Enumeration Date | 2011-07-30 |
Last Update Date | 2013-10-25 |