| NPI | 1568728517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW HOHENSEE Owner/Member 503-924-6535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Additional Taxonomies | 225700000X Massage Therapist |
| 111NS0005X Chiropractor, Sports Physician (Licence: OR 3883) | |
| 171100000X Acupuncturist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2019-04-17 |