| NPI | 1629098157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARA PARVIN President 541-267-4429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OR MD21855) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OR MD26085) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-10-31 |