| 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 |