| NPI | 1215385059 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | STEPHEN W PEIRCE Director 503-639-9523 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR CO887) | 
| Enumeration Date | 2016-06-02 | 
| Last Update Date | 2016-06-02 |