| NPI | 1154475762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE BRELJE Clinic Director Owner 503-657-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |