| NPI | 1649534793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JOHN FRICKE Managing Partner 503-257-9881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 1660) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |