| NPI | 1740362714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK MEIRA President 503-704-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist Sports |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-04-30 |