| NPI | 1962015776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN G THIEDE Authorized Official 541-334-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2024-02-12 |