| NPI | 1194139329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDWARD MARQUIS Owner/D PT 503-504-5345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: OR 4427) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |