# MERUU CORE CHOICE REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023609435
- **Authorized official:** DR. SHOSHANNA DANICA LEWIS DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (971) 205-2630

## Contact information

- **Practice address:** 1975 NW 167TH PL \# 100-43, BEAVERTON, OR 97006-4908
- **Practice address phone:** (971) 205-2630
- **Mailing address:** 1975 NW 167TH PL \# 100-43, BEAVERTON, OR 97006-4908
- **Mailing address phone:** (971) 205-2630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251E1200X | Ergonomics Physical Therapist | — | NULL | — |
| 2251E1200X | Ergonomics Physical Therapist | — | — | — |
| 2251G0304X | Geriatric Physical Therapist | — | NULL | — |
| 2251G0304X | Geriatric Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 01/28/2021
- **Last updated:** 02/17/2021