# IRIS REHABILITATION, LLC

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

## Provider details

- **NPI number:** 1992399935
- **Authorized official:** GRETCHEN OBERLE (OWNER)
- **Authorized official phone:** (503) 766-2302

## Contact information

- **Practice address:** 205 SE SPOKANE ST STE 359, PORTLAND, OR 97202-6494
- **Practice address phone:** (503) 766-2302
- **Practice address fax:** (503) 832-5389
- **Mailing address:** PO BOX 42312, PORTLAND, OR 97242-0312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2021
- **Last updated:** 10/23/2022
