| NPI | 1629394663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL L GOODE Owner 503-372-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 8585) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NV 8585) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |