| NPI | 1134383920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J KRUPA Owner 503-436-8772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 1458) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |