| NPI | 1922371947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNE MARIE GLOVER Business Manager 503-674-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2019-04-17 |