| NPI | 1972329431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL SPRADLIN Owner 503-888-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |