Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility | |
Community/Behavioral Health |
251S00000X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI # | 1699522615 |
| LBN Legal business name | PDX HEALTH, LLC |
| Authorized official | THOMAS FELDMAN - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/06/2024 |
| Last updated | 09/02/2025 - About 9 months ago |
| Identifiers | n/a |
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PDX HEALTH, LLC
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