| NPI | 1205421047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP JOSEPH BIANCO WHITE Owner/Member 503-888-8517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 2251N0400X Physical Therapist, Neurology | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |