| NPI | 1881040731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CARPENTER THRALL Sole Proprietor 503-324-7842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-17 |