| NPI | 1356327803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R BRADDOCK CEO Medical Director 503-635-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2020-08-22 |