Organization
PREMERE REHAB LLC
Active
Other names
Infinity Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MCCOY (CREDENTIALING SPECIALIST)
(503) 496-5057
Entity
Organization
Contact information
Practice address
4254 WEATHERS ST NE, SALEM, OR 97301-1933
(503) 585-4602
Mailing address
8100 SW NYBERG ST STE 200, TUALATIN, OR 97062-8437
(503) 570-3665
(503) 570-9155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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