| NPI | 1609068998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MCGRANAHAN Practice Manager 541-942-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: OR 0440) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |