| NPI | 1942214804 |
|---|---|
| Doing Business As | TAI WANDERMERE |
| Entity Type | Organization |
| Authorized Contact | MELISSA HAMILTON Dir Payer & Provider Relations 503-443-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-05-23 |