| NPI | 1891432860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN DOUGLAS DEGN Physical Therapist 503-341-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-06-21 |