| NPI | 1902382575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GIBBONS Owner/PT 503-512-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: OR 5974) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |