| NPI | 1629209077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN MICHAEL SILLS Managing Member 541-324-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OR MD25091) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |