| NPI | 1043601602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROWENA J WIER Cota 503-267-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: OR 408047) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |