| NPI | 1629331293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN M SILLS Medical Director 541-773-1435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2023-02-17 |