| NPI | 1164899373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX DELAPAZ Owner 503-577-0318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60188) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 60188) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2023-04-16 |