| NPI | 1215361928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DODGE Owner/President 503-563-5382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |