| NPI | 1760841308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYDEE R ROMICK Director Of Clinic 503-901-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2213) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2022-08-11 |