| NPI | 1902253008 |
|---|---|
| Doing Business As | PHYSICAL THERAPY AT THE MAC |
| Entity Type | Organization |
| Authorized Contact | JAY BRENT JENSEN Owner 503-519-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 06984) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |