| NPI | 1265814735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM FLEMING Owner 503-803-4279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 5080) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |