| NPI | 1891165544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GRECO Manager 541-639-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR DO155807) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-09 |