Organization
BRAIN REHAB NETWORK OREGON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW CARLTON KAMPFE (PRESIDENT/ADMINISTRATOR)
(904) 718-3272
Entity
Organization
Contact information
Practice address
7204 SW DURHAM RD STE 100, TIGARD, OR 97224-7574
(503) 941-9869
(503) 352-5555
Mailing address
7204 SW DURHAM RD STE 100, TIGARD, OR 97224-7574
(503) 941-9885
(503) 352-5555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
221700000X
Art Therapist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225C00000X
Rehabilitation Counselor
—
—
225X00000X
Occupational Therapist
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/14/2015
Last updated
04/07/2021
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