| NPI | 1952600124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA RIEDMAN Owner 503-758-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC 152885) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2016-03-16 |