| NPI | 1982009247 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHRISTEN EBY Executive Director 541-647-8802  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 1500011088)  | 
| Enumeration Date | 2014-10-29 | 
| Last Update Date | 2014-10-29 |