| NPI | 1750273983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE THOMAS Manager 503-956-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 172M00000X Mechanotherapist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-23 |