Organization
PREMERE REHAB LLC
Active
Other names
Infinity Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CANTRELL (VP COMMUNITY BASED SERVICES)
(360) 901-8111
Entity
Organization
Contact information
Practice address
2545 SW TERWILLIGER BLVD, PORTLAND, OR 97201-6302
(503) 808-7974
(503) 820-5464
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(888) 757-3422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/14/2010
Last updated
11/15/2021
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