Legacy Physiatry Group Oregon, LLC
NPI #1194197442 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1194197442
- Entity Type
- Organization
- Organization Name
- Legacy Physiatry Group Oregon, LLC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Oct 27, 2015
- Last Updated
- Oct 27, 2015
Practice Location
- Address
- 5 CENTERPOINTE DR
- Address 2
- STE 400
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-8651
- Phone
- (972) 372-1663
Authorized Official
- Name
- VIVEK SASTRY
- Title
- CEO
- Phone
- (972) 372-1663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
| Internal Medicine |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
| Physician Assistant |
| Nurse Practitioner |
| Physical Medicine & Rehabilitation |
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