| NPI | 1790825370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO J BERMUDEZ Pres. 503-644-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OR 3598) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |