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Contact Information

LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
17175 SW TUALATIN VALLEY HWY
BEAVERTON, OR97003-4584
 Phone: 805-736-7886
 Fax: 805-736-7867
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.

NPI # 1407335979
LBN Legal business name LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Authorized official SARA SHOWERS - (MEDICAL BILLING SPECIALIST LEAD)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2018
Last updated 08/07/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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