| NPI | 1922264845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA FOX Biller 503-245-5970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A61032) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2009-09-09 |