| NPI | 1235705013 |
|---|---|
| Doing Business As | TAI - ST. JOHNS |
| Entity Type | Organization |
| Authorized Contact | MELISSA HAMILTON Director Payer & Provider Relations 503-443-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-02 |