| NPI | 1760227888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM L KEMP Owner 541-844-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2024-06-29 |
| Last Update Date | 2024-07-19 |