| NPI | 1427225606 |
|---|---|
| Doing Business As | PORTLAND PERFORMING ARTS INJURIES CLINIC |
| Entity Type | Organization |
| Authorized Contact | GRETE A KOFOED Physical Therapist 503-224-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 1662) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-19 |