| NPI | 1700842531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI LEE PEDERSEN Business Owner 503-663-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-08-22 |