LEGACY MERIDIAN PARK PEDIATRIC REHAB NPI 1801122593

NPI Information

NPI: 1801122593
Provider Name: LEGACY MERIDIAN PARK PEDIATRIC REHAB
Classification: Rehabilitation Hospital - 283XC2000X
Entity Type: Organization

Specialization: Children

Address:
19250 SW 65TH AVE
TUALATIN, OR
ZIP 97062
Phone: (503) 692-1817
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LEGACY MERIDIAN PARK PEDIATRIC REHAB is a children rehabilitation hospital in Tualatin, OR. LEGACY MERIDIAN PARK PEDIATRIC REHAB NPI is 1801122593. The provider is registered as an organization entity type.

The provider's business location address is:

19250 SW 65TH AVE
TUALATIN, OR
ZIP 97062-452
Phone: (503) 692-1817

The provider's authorized official is Lisa Lyons .
The authorized official title is Rehabiltiation Manager and has the following contact phone number (360) 487-1785.

The enumeration date for this NPI number is 10/30/2009 and was last updated on 10/30/2009.

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	283XC2000X	Rehabilitation Hospital	Children	930618915	OREGON	Yes

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

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