Organization
INTEGRATED REHABILIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SAECHAO (BILLING MANAGER)
(503) 232-1000
Entity
Organization
Contact information
Practice address
10340 SE DIVISION ST, PORTLAND, OR 97266-1269
(503) 232-1000
Mailing address
10340 SE DIVISION ST, PORTLAND, OR 97266-1269
(503) 232-1000
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3555836
—
OR
Enumeration date
09/18/2019
Last updated
09/18/2019
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