| NPI | 1396099776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER ERNEST SCHMECK Massage Therapist 503-476-6225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 17590) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |