| NPI | 1669672630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF MACDONALD Owner 541-229-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 4760) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2011-06-30 |