| NPI | 1851657480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ULRICH Owner/Physical Therapist 503-260-5397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: OR 3360) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2022-03-08 |