| NPI | 1760839815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER J MILLER Physical Therapist And Owner 971-204-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR PT0851) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2017-12-01 |