| NPI | 1962901637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB JOSEPH WRIGHT President / CEO 503-312-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 5675) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2019-08-13 |