| NPI | 1619178662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG D ANDERSON President 503-371-4647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 088393-91) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2019-01-23 |