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Organization
REHAB SPECIALISTS OUTPATIENT LLC
Active
Organization
REHAB SPECIALISTS OUTPATIENT LLC
Active
Other names
AgeSTRONG Capitol Lakes
Organization subpart
No
Provider details
NPI number
Authorized official
STACI TONE (CONTROLLER)
(971) 206-5125
Entity
Organization
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5100
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
08/31/2026
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