| NPI | 1710682240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MARTIN Owner 503-877-4974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-05-30 |