| NPI | 1356410054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH RAE SMITH Billing 503-640-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 006341) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |