| NPI | 1902249022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK BONICA Owner 503-254-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 1053) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2016-01-13 |