| NPI | 1184314072 |
|---|---|
| Doing Business As | PRIME PERFORMANCE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW CHRISTOPHER MARINO CEO 503-863-6062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |