Providence Silverton Rehab LLC

NPI #1619172780 in Woodburn, Oregon

Provider Information

NPI Number
1619172780
Entity Type
Organization
Organization Name
Providence Silverton Rehab LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE SILVERTON REHAB LLC
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jun 19, 2007
Last Updated
Oct 1, 2012

Practice Location

Address
1475 MT. HOOD AVE
State
Oregon
ZIP Code
97071-9066
Phone
(971) 983-5206

Authorized Official

Name
DANA L MONTGOMERY
Title
CHIEF FINANCIAL OFFICER
Phone
(503) 893-7295

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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