| NPI | 1134316268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MERKL Owner 503-602-9197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 5984) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2009-08-31 |