NPI | 1801139019 |
---|---|
Entity Type | Organization |
Authorized Contact | RAHUL NAVEN DESAI Owner / CEO 503-535-8302 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OR DO150752) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OR MD28444) |
Enumeration Date | 2013-04-05 |
Last Update Date | 2016-10-10 |