| NPI | 1881777837 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BLAISE SCOLLARD Owner 503-665-1151 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 229160) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 237123) | 
| Enumeration Date | 2006-10-23 | 
| Last Update Date | 2025-09-11 |