| NPI | 1881639995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL E ZASH Manager 541-776-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: OR N/A) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-12-31 |