Providence Silverton Rehab Llc in Woodburn - Physical Therapy

Providence Silverton Rehab Llc - NPI 1619172780

Providence Silverton Rehab Llc is a Physical Therapy in Woodburn, Oregon. Providence Silverton Rehab Llc practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Providence Silverton Rehab Llc is 1619172780. The last update date is 2012-10-01.

Providence Silverton Rehab Llc's current location address is 1475 Mt. Hood Ave, Woodburn, Oregon. You can contact this provider via phone number 9719835206 and fax number 9719835211. The mailing address for Providence Silverton Rehab Llc is 1475 Mt. Hood Ave, Woodburn, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Silverton Rehab Llc
Address 1475 Mt. Hood Ave, Woodburn, Oregon
Phone Number 9719835206
Fax Number 9719835211
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF FINA
Authorized Official Name Montgomery L Dana
Telephone Number 5038937295

NPI Number Detail

NPI Number 1619172780
Provider Enumeration Date 2007-06-19
Last Updated Date 2012-10-01

Provider Mailing Address Detail

Address 1475 Mt. Hood Ave
City Woodburn
State Oregon (OR)
Post Code 970719066
Phone Number 9719835206
Fax Number 9719835211

Provider's Primary Taxonomy Detail

Speciality Physical Therapy
Taxonomy 261Qp2000X
Definition:
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DA5512 OR RAILROAD MEDICARE PART B

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FAQs about Providence Silverton Rehab Llc

What is the unique provider identifier assigned to Providence Silverton Rehab Llc?

The Providence Silverton Rehab Llc has been issued the NPI (National Provider Identifier) 1619172780 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Providence Silverton Rehab Llc located?

The Providence Silverton Rehab Llc is located at 1475 Mt. Hood Ave, Woodburn, OR 970719066.

What is Providence Silverton Rehab Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Providence Silverton Rehab Llc is Physical Therapy, and the taxonomy classification code that categorizes this area of expertise is 261Qp2000X.

On what date did the Providence Silverton Rehab Llc receive the assignment of its 1619172780 from the Centers for Medicare & Medicaid Services?

The Providence Silverton Rehab Llc was issued its 1619172780 by the Centers for Medicare & Medicaid Services on 2007-06-19.

As of what date was the information regarding Providence Silverton Rehab Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Providence Silverton Rehab Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-01.

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