| NPI | 1386034767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE L HOTZ Owner/Provider 971-255-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: OR 6264) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |