PACIFIC REHABILITATION & SPORTS MEDICINE INC (NPI# 1144282310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144282310 |
| Entity Type | Organization |
| Organization Name | PACIFIC REHABILITATION & SPORTS MEDICINE INC |
| Practice Address |
2330 Nw Flanders St Ste 101 Portland OR 97210-3442 |
| Practice Telephone | 5032288575 |
| Mailing Telephone | 5032288575 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952350688 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 12500 Aurora Ave N, Ste C, Seattle, WA 98133-1518 | 2006-05-09 |
| 1154383321 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 215 S Bridge St, Sheridan, OR 97378-1807 | 2006-04-04 |
| 1053356717 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 17910 Talbot Rd S, #101, Renton, WA 98055 | 2006-06-18 |
| Street Address |
2330 NW FLANDERS ST STE 101 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215910948 | Julie E Teal | Occupational Therapist | 2330 Nw Flanders St, Ste G-1, Portland, OR 97210-3442 | 2005-11-28 |
| 1457803199 | Chloe Scheel | Acupuncturist | 2330 Nw Flanders St, Suite 101, Portland, OR 97210-3442 | 2016-10-28 |
| 1114398690 | Kellyn Adams | Naturopath | 2330 Nw Flanders St, Suite 101, Portland, OR 97210 | 2015-10-09 |
| 1851795173 | Aimee Bonneval | Naturopath | 2330 Nw Flanders St, Portland, OR 97210-3442 | 2014-10-15 |
| 1588080576 | Kendra Dale | Acupuncturist | 2330 Nw Flanders St, Suite 101, Portland, OR 97210-3442 | 2014-03-14 |
| 1073941399 | David Chang | Acupuncturist | 2330 Nw Flanders St, Suite 101, Portland, OR 97210-3442 | 2013-10-23 |
| 1578800207 | Clifford C. Meeks | Acupuncturist | 2330 Nw Flanders St, Suite #101, Portland, OR 97210-3442 | 2013-01-15 |
| 1326395807 | Talula Kana | Massage Therapist | 2330 Nw Flanders St, Suite 101, Portland, OR 97210-3442 | 2012-08-14 |
| 1952673279 | Melissa Ann Kuser | Naturopath | 2330 Nw Flanders St, Suite 101, Portland, OR 97210-3442 | 2012-02-01 |
| 1437438272 | Chelesa Albrecht Mayer | Physical Therapist | 2330 Nw Flanders St, Portland, OR 97210-3442 | 2011-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850854 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 1274 Congress St Fl 3, Portland, ME 04102-2111 | 2019-09-13 |
| 1174857577 | Creative Therapy Connections, LLC | Clinic/Center | 5232 N Interstate Avenue, Portland, OR 97217 | 2009-10-01 |
| 1043360159 | Midwest Healthstrategies, Inc. | Clinic/Center | 1756 W 100 S, Portland, IN 47371-8204 | 2007-01-11 |
| 1144788209 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc | Clinic/Center | 1601 Congress St, Portland, ME 04102-2102 | 2019-03-07 |
| 1881077204 | Function Therapeutics LLC | Clinic/Center | 7925 Se Stark St, Portland, OR 97215-2341 | 2015-07-02 |
| 1801286117 | Portland Wellness Care | Clinic/Center | 4160 Ne Sandy Blvd, Suite 1100, Portland, OR 97212-5336 | 2015-01-26 |
| 1932131364 | Rehabilitation Medicine Associates, PC | Clinic/Center | 1040 Nw 22nd Ave, Suite 320, Portland, OR 97210-3057 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487280855 | Rehabcare Group East, LLC | Clinic/Center | 7320 Sw Hunziker Rd Ste 205, Tigard, OR 97223-2301 | 2020-03-18 |
| 1598130965 | Sarah Mcdonnell LLC | Clinic/Center | 512 Cascade Ave, Suite 100, Hood River, OR 97031-2126 | 2015-12-10 |
| 1043601602 | Infinity Rehab | Clinic/Center | 8750 Se 155th Ave, 18, Happy Valley, OR 97086-5533 | 2015-02-17 |
| 1922354703 | Oregon Housing and Associated Services, Inc. | Clinic/Center | 2582 19th St Se, Salem, OR 97302-1501 | 2012-07-30 |
| 1497979785 | Southwest Physical Therapy | Clinic/Center | 29286 Ellensburg, Gold Beach, OR 97444 | 2007-04-11 |
| 1568685766 | Southwest Physical Therapy LLC | Clinic/Center | 279 N Central St, Coquille, OR 97423-1241 | 2007-04-10 |
| 1154383321 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 215 S Bridge St, Sheridan, OR 97378-1807 | 2006-04-04 |
| 1043272214 | Select Physical Therapy Orthopedic Services Inc | Clinic/Center | 24947 Highway 126, Suite D, Veneta, OR 97487 | 2006-04-04 |
| 1821096033 | Therapeutic Laser Center | Clinic/Center | 115 W Stewart Ave, Medford, OR 97501-3607 | 2005-07-12 |
| 1255843355 | Physical Therapy Northwest Limited Partnership | Clinic/Center | 685 36th Ave Ne, Salem, OR 97301-4741 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.