| NPI | 1134881840 |
|---|---|
| Doing Business As | PT AT THE MAC |
| Entity Type | Organization |
| Authorized Contact | SASHA LAUREL KOLBECK Co Owner 503-228-1306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2021-10-10 |
| Last Update Date | 2021-10-10 |