| NPI | 1245390004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY J GALVER Office Manager 503-566-7782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 2636) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |