| NPI | 1649420548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY SMITH Director 503-654-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: OR 16764) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2010-08-12 |