| NPI | 1740668649 |
|---|---|
| Doing Business As | CORVALLIS PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | JULIA BULL RASK Chief Financial Officer 541-368-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2024-04-22 |