| NPI | 1689702722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN BENJAMIN COLLIER Doctor Physical Therapy Director 503-794-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2015-07-01 |