| NPI | 1194907873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR ALEJANDRO MARTINEZ Office Manager 503-222-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4996) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2022-09-21 |