| NPI | 1871976407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR D JORGENSEN Physician 503-828-9569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2018-05-11 |