| NPI | 1215133152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL R CONRADES Owner Physical Therapist 503-777-6746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2008-06-19 |