Premere Rehab LLC

NPI #1689373201 in Beaverton, Oregon

Provider Information

NPI Number: 1689373201
Entity Type: Organization
Organization Name: Premere Rehab LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PREMERE REHAB LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 2, 2023
Last Updated: Mar 2, 2023

Practice Location

Address: 14570 SW HART RD
City: Beaverton
State: Oregon
ZIP Code: 97007-7000
Phone: (503) 626-5100

Authorized Official

Name: TAMMY MCCOY
Title: CREDENTIALING SPECIALIST
Phone: (503) 496-5057

Specialties & Taxonomy Codes

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

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