Lags Spine and Sportscare Medical Centers, Inc.

NPI #1215434519 in Beaverton, Oregon

Provider Information

NPI Number
1215434519
Entity Type
Organization
Organization Name
Lags Spine and Sportscare Medical Centers, Inc.
Primary Specialty
Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date
Apr 12, 2018
Last Updated
Apr 12, 2018

Practice Location

Address
17175 SW TUALATIN VALLEY HWY STE A-1
State
Oregon
ZIP Code
97003-4584
Phone
(503) 850-9044

Authorized Official

Name
AMY D'AMATO
Title
CONTRACTS MANAGER
Phone
(805) 264-3388

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine

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