# NORTHWEST REHABILITATION ASSOCIATES, INC.

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

## Provider details

- **NPI number:** 1972505790
- **Authorized official:** BOBBY ISMAIL (PRESIDENT)
- **Authorized official phone:** (093) 531-9882

## Contact information

- **Practice address:** 1025 2ND ST. NW., WEST SALEM, OR 97304
- **Practice address phone:** (503) 371-0779
- **Practice address fax:** (503) 371-0886
- **Mailing address:** 3270 LIBERTY RD S, SALEM, OR 97302
- **Mailing address phone:** (503) 371-0779
- **Mailing address fax:** (503) 371-0886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2706 | OR | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2005
- **Last updated:** 12/06/2023