| NPI | 1881777837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAISE SCOLLARD Owner 503-665-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 237123) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 229160) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |