Premere Rehab LLC

NPI #1407191141 in Clackamas, Oregon

Provider Information

NPI Number: 1407191141
Entity Type: Organization
Organization Name: Premere Rehab LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 6, 2012
Last Updated: Jan 2, 2013

Practice Location

Address: 11520 SE SUNNYSIDE RD
City: Clackamas
State: Oregon
ZIP Code: 97015-4306
Phone: (503) 698-1613

Authorized Official

Name: LAURA CANTRELL, PT
Title: DIRECTOR OF OUTPATIENT
Phone: (360) 901-8111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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