| NPI | 1841040292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMERALD LOUISE NELSON FLORES Clinic Administrator 971-277-0559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-07-10 |