| NPI | 1053422485 |
|---|---|
| Other Name | TED ELLQUIST, PT |
| Entity Type | Organization |
| Authorized Contact | TED IAN ELLQUIST Staff PT 503-358-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 36493) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-09-20 |