| NPI | 1841460052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI WHITAKER Office Manager 503-223-8157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 1472) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |