| NPI | 1992926471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDWARD MARQUIS Owner 503-982-8544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4427) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 3455) |
| 225100000X Physical Therapist (Licence: OR 6394) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-06-18 |