| NPI | 1023998176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCRETIA COTTON Office Administrator 503-208-6096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-24 |