| NPI | 1255403309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE LISA GORDON Physician 503-722-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 175F00000X Naturopath |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-09-11 |