Organization
RESTORE INTERVENTIONAL SPINE & SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHUL NAVEN DESAI MD (OWNER / CEO)
(503) 535-8302
Entity
Organization
Contact information
Practice address
9925 SW NIMBUS AVE, SUITE 100, BEAVERTON, OR 97008
(503) 535-8302
(503) 416-8732
Mailing address
9925 SW NIMBUS AVE., SUITE 100, BEAVERTON, OR 97008
(503) 535-8302
(503) 416-8732
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
DO150752
OR
2085R0204X
Vascular & Interventional Radiology Physician
MD28444
OR
Other
Enumeration date
04/05/2013
Last updated
10/10/2016
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