| NPI | 1134558505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMELLE KING Physical Therapist 503-891-4586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 06378) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-12-10 |