| NPI | 1770889610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE MOHR Director Of Operations 503-567-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: OR 3703) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |