| NPI | 1962606178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIVEN B DONATO Owner 541-664-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 273291) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 4197) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2010-12-29 |