Organization
PREMERE REHAB, LLC
Active
Other names
Infinity Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CANTRELL PT (REGIONAL DIRECTOR OF OUTPATIENT OPS)
(360) 901-8111
Entity
Organization
Contact information
Practice address
15727 NE RUSSELL ST, PORTLAND, OR 97230-8222
(503) 252-9361
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 224-2040
(888) 795-0947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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