| NPI | 1669405767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL M TENOSO Owner 503-723-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-08-03 |