| NPI | 1063921187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN FOSTER Office Administrator 503-616-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 05926) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2023-08-15 |