| NPI | 1982748141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J FRICKE Owner 503-257-9881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 1660) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2018-09-07 |