| NPI | 1710118187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBI G. CULTER Secretary, Board Of Directors 503-663-0481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |