| NPI | 1932839776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LOGIUDICE Owner 503-339-7351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 225700000X Massage Therapist |
| 111N00000X Chiropractor | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-08-24 |