| NPI | 1467933168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MARIE KRUEGER Owner 503-744-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 5647) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |