| NPI | 1730409244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN PRAY Program Manager 503-928-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 254954) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 256636) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |