| NPI | 1538407093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL WADE CREE Owner/Physical Therapist 503-501-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5776) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3049) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-03-22 |