# PREMERE REHAB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Infinity Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851016794
- **Authorized official:** LAURA CANTRELL (VP OF COMMUNITY BASED SERVICES)
- **Authorized official phone:** (360) 901-8111

## Contact information

- **Practice address:** 13160 SE 172ND AVE, HAPPY VALLEY, OR 97086-9623
- **Practice address phone:** (503) 563-4930
- **Mailing address:** 8100 SW NYBERG ST STE 200, TUALATIN, OR 97062-8437
- **Mailing address phone:** (503) 570-3665

## 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:** 10/04/2022
- **Last updated:** 10/04/2022