| NPI | 1871253385 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MEGAN CORRADO Clinical Services Director 971-374-2550  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist | 
| Additional Taxonomies | 225100000X Physical Therapist | 
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-12-23 | 
| Last Update Date | 2022-08-22 |