| NPI | 1780175943 |
|---|---|
| Doing Business As | TAI - SUNRIVER |
| Entity Type | Organization |
| Authorized Contact | TODD GIFFORD CEO 503-443-6156 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-08-20 |