| NPI | 1164497111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ELIZABETH SEVEREID Owner / CFO 503-538-8952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2023-04-13 |