Organization
WATERFORD OUTPATIENT REHABILITATION CLINIC
Active
Organization
WATERFORD OUTPATIENT REHABILITATION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK R BERGIN BS, NHA (EXECUTIVE DIRECTOR)
(360) 854-2866
Entity
Organization
Contact information
Practice address
2911 SE VILLAGE LOOP, VANCOUVER, WA 98683-8103
(360) 433-6346
(360) 891-4532
Mailing address
2911 SE VILLAGE LOOP, VANCOUVER, WA 98683-8103
(360) 433-6346
(360) 891-4532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
00007335
WA
225100000X
Physical Therapist
00007567
WA
225200000X
Physical Therapy Assistant
—
WA
225X00000X
Occupational Therapist
00002309
WA
225X00000X
Occupational Therapist
Primary
00002848
WA
235Z00000X
Speech-Language Pathologist
00003218
WA
Other
Enumeration date
10/13/2006
Last updated
09/11/2025
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