Gresham Sportscare in Gresham - Physical Therapy
Gresham Sportscare - NPI 1487789657
Gresham Sportscare is a Physical Therapy in Gresham, Oregon. Gresham Sportscare practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Gresham Sportscare is 1487789657. The last update date is 2018-03-22.
Gresham Sportscare's current location address is 24076 Se Stark St, Gresham, Oregon. You can contact this provider via phone number 5034911666. The mailing address for Gresham Sportscare is 24076 Se Stark St, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gresham Sportscare |
|---|---|
| Address | 24076 Se Stark St, Gresham, Oregon |
| Phone Number | 5034911666 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Eischen George C. |
| Credentials | PT |
| Telephone Number | 5034911666 |
NPI Number Detail
| NPI Number | 1487789657 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2018-03-22 |
Provider Mailing Address Detail
| Address | 24076 Se Stark St |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970303373 |
| Phone Number | 5034911666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
| Licence No | 1517 |
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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 |
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What is the unique 10-digit identifier code assigned to Gresham Sportscare by the Centers for Medicare & Medicaid Services?
The Gresham Sportscare has been issued the NPI (National Provider Identifier) 1487789657 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Gresham Sportscare is located?
The Gresham Sportscare is situated at the following address: 24076 Se Stark St, Gresham, OR, 970303373.
What is Gresham Sportscare's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gresham Sportscare is Physical Therapy, and the taxonomy code that categorizes this field of expertise is 261Qp2000X.
On what date did the Gresham Sportscare receive its 1487789657 assignment from the Centers for Medicare & Medicaid Services?
The Gresham Sportscare was assigned its 1487789657 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date were the Gresham Sportscare's details last updated?
The information pertaining to the Gresham Sportscare, including its address, specialty, and other details, was most recently updated on 2018-03-22.
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