| NPI | 1730209404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RICHARDSON Compliance Coordinator 541-585-2529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist (Licence: OR 0965535-8) | |
| 225XH1200X Occupational Therapist, Hand (Licence: OR 0965535-8) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2009-05-05 |