PACIFIC REHABILITATION & SPORTS MEDICINE INC NPI 1154383321

NPI Information

NPI: 1154383321
Provider Name: PACIFIC REHABILITATION & SPORTS MEDICINE INC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
215 S BRIDGE ST
SHERIDAN, OR
ZIP 97378
Phone: (503) 843-7617
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PACIFIC REHABILITATION & SPORTS MEDICINE INC is a rehabilitation clinic center in Sheridan, OR. PACIFIC REHABILITATION & SPORTS MEDICINE INC NPI is 1154383321. The provider is registered as an organization entity type.

The provider's business location address is:

215 S BRIDGE ST
SHERIDAN, OR
ZIP 97378-807
Phone: (503) 843-7617

The provider's authorized official is Michael Tarvin .
The authorized official title is Vice President and has the following contact phone number (717) 972-1100.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 9/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	386517	MEDICARE OSCAR/CERTIFICATION	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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