| NPI | 1881694867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BAUMAN Chief Administrator 541-485-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 213E00000X Podiatrist | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-07-21 |