| NPI | 1508005026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN LEE MASON General Manager 503-357-1706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 3440) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2022-05-24 |