| NPI | 1639841588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS VARENAS Proprietor 503-295-3602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |