# OREGON MOBILE REHAB LLC

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

## Provider details

- **NPI number:** 1134558505
- **Authorized official:** JAMELLE KING PT, DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (503) 891-4586

## Contact information

- **Practice address:** 14445 SE MOUNTAIN RIDGE AVE, HAPPY VALLEY, OR 97086-4042
- **Practice address phone:** (503) 891-4586
- **Mailing address:** 14445 SE MOUNTAIN RIDGE AVE, HAPPY VALLEY, OR 97086-4042
- **Mailing address phone:** (503) 891-4586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 06378 | OR | Yes |

## Other

- **Enumeration date:** 11/06/2013
- **Last updated:** 12/10/2013