| NPI | 1841854163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEDRA MARIE PINE Occupational Therapist/Owner 503-997-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |