| NPI | 1053504696 |
|---|---|
| Doing Business As | ELEMENT WELLNESS AND SPORTS REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | NOAH I GOODWILL Owner 503-445-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3372) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 3758) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2012-12-13 |