| NPI | 1407037146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN J CASPER President 503-885-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 0777) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 1583) |
| 225100000X Physical Therapist (Licence: OR 1052) | |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2011-04-08 |