| NPI | 1891017364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE E. BARBER-SHAMS Registered Agent 503-873-7642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: OR 1964) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |