| NPI | 1912574906 |
|---|---|
| Doing Business As | ACTIVE EDGE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DANIEL C MORLAN President 503-387-5449 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |