| NPI | 1922503044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON JAMES Physical Therapist 503-707-5996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 60235) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-08-02 |