# PREMERE REHAB LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1275835290
- **Authorized official:** LAURA CANTRELL (DIRECTOR OF OUTPATIENT)
- **Authorized official phone:** (360) 901-8111

## Contact information

- **Practice address:** 2000 SE 30TH AVE, HILLSBORO, OR 97123-8195
- **Practice address phone:** (503) 718-2021
- **Mailing address:** 25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
- **Mailing address phone:** (888) 757-3422
- **Mailing address fax:** (877) 282-1880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 11/23/2010
- **Last updated:** 01/02/2013