PACIFIC REHABILITATION & SPORTS MEDICINE INC; NPI #1154383321

Contact Information

PACIFIC REHABILITATION & SPORTS MEDICINE INC

215 S BRIDGE ST
SHERIDAN, OR 97378-1807

Phone: 503-843-7617
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for PACIFIC REHABILITATION & SPORTS MEDICINE INC

NPI Number	`1154383321`
LBN Legal business name	PACIFIC REHABILITATION & SPORTS MEDICINE INC
Authorized official	MICHAEL TARVIN - (VICE PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/04/2006
Last updated	09/01/2010 - About 16 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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PACIFIC REHABILITATION & SPORTS MEDICINE INC

Contact Information

Specialty

Rehabilitation

NPI Profile & details for PACIFIC REHABILITATION & SPORTS MEDICINE INC

Reviews for PACIFIC REHABILITATION & SPORTS MEDICINE INC