| NPI | 1295314979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KANG Owner 503-290-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-11 |