| NPI | 1861900516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH CHAND Medical Director 503-376-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: OR MD178982) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-06-28 |