| NPI | 1558495762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL LEON IVINS Clinic Director 503-371-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 3584) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-07-30 |