| NPI | 1528634144 |
|---|---|
| Doing Business As | TAI - CANBY |
| Entity Type | Organization |
| Authorized Contact | MELISSA HAMILTON Director Of Payer Provider Relation 503-443-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |