National Provider Identifier Database

REHABILITATION MEDICINE ASSOCIATES PC
Rehabilitation


Contact Information

REHABILITATION MEDICINE ASSOCIATES, PC
1040 NW 22ND AVE
SUITE 320
PORTLAND, OR97210-3057
Phone: 503-413-6294
Fax: 503-413-7780
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for REHABILITATION MEDICINE ASSOCIATES, PC

NPI Number 1932131364
Legal business name
LBN
REHABILITATION MEDICINE ASSOCIATES, PC
Authorized official JENNIFER LAWLOR - (CORPORATION PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/07/2006
Last updated 01/23/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 031740

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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