| NPI | 1528455649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HEATH CFO 503-489-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: OR 6061099) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |