| NPI | 1679218317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM STEWART Administrator 503-662-6403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-06-28 |