# TOUCHMARK AT FAIRWAY VILLAGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Touchmark Outpatient Rehab Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780764332
- **Authorized official:** MR. BRIAN E PRYOR (VP OPERATIONS)
- **Authorized official phone:** (503) 646-5186

## Contact information

- **Practice address:** 2911 SE VILLAGE LOOP, VANCOUVER, WA 98683-8103
- **Practice address phone:** (360) 253-3855
- **Practice address fax:** (360) 433-6567
- **Mailing address:** 5150 SW GRIFFITH DR, BEAVERTON, OR 97005-2935
- **Mailing address phone:** (503) 646-5186
- **Mailing address fax:** (503) 644-3568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/19/2015