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Organization

WESTERN RESERVE REHAB GROUP LLC

Active
Parent organization
WESTERN RESERVE REHAB GROUP LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
WESTERN RESERVE REHAB GROUP LLC
Authorized official
MARIA A ARMSTRONG MURPHY MD (MANAGING MEMBER)
(216) 702-6944
Entity
Organization

Contact information

Practice address
2561 CENTER ST NE, SALEM, OR 97301-4600
(503) 561-5976
(503) 561-4912
Mailing address
4628 SW 49TH AVE, PORTLAND, OR 97221-3019
(216) 702-6944
(503) 477-7338

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
MD27171
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006277
OR
Enumeration date
11/02/2007
Last updated
03/05/2010
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