| NPI | 1063996585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVAN THI TRINH Doctor Of Physical Therapy 503-888-6353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |