| NPI | 1609270560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT T. QUAVE Owner / Physician 541-227-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |