| NPI | 1447841697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD GARY SIMPSON Co Owner 503-208-8012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-01-31 |
| Last Update Date | 2023-01-20 |