| NPI | 1831331487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MARIE SIMONSEN President 503-806-6184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR AC00868) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 1668) |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2009-03-28 |