# PREMERE REHAB LLC

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

## Provider details

- **NPI number:** 1881924017
- **Authorized official:** LAURA A CANTRELL PT (DIRECTOR OF OUTPATIENT)
- **Authorized official phone:** (360) 901-8111

## Contact information

- **Practice address:** 1950 NW 192ND AVE, HILLSBORO, OR 97006-6514
- **Practice address phone:** (503) 726-0202
- **Mailing address:** 25117 SW PARKWAY, SUITE D, WILSONVILLE, OR 97070
- **Mailing address phone:** (888) 757-3422

## 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:** 01/11/2010
- **Last updated:** 01/02/2013