Organization
PROGRESSIVE STEP REHABILITATION
Active
Parent organization
EXTENDICARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXTENDICARE
Authorized official
MS. BARBARA K TRAVIS L.PTA (LICENSED PHYSICAL THERAPIST ASST.)
(503) 397-2720
Entity
Organization
Contact information
Practice address
75 SHORE DR, SAINT HELENS, OR 97051-1125
(503) 397-2720
Mailing address
75 SHORE DR, SAINT HELENS, OR 97051-1125
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
7085
OR
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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