| NPI | 1689961534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE FORREST RUDDER-YEPES Owner 503-508-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: OR 14427) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |