| NPI | 1629021290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MARIE MOSELEY President/Owner 503-701-4390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 0829199-3) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-12-13 |