| NPI | 1134363708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. C MIRANDA Physical Therapist/Owner 503-496-1058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: OR 5547) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-12-16 |