| NPI | 1639510308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD THOMAS PFEFER President 971-327-4355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR MD21275) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |