Organization
PREMERE REHAB LLC
Active
Other names
Infinity Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CANTRELL PT (VP COMMUNITY BASED SERVICES)
(360) 901-8111
Entity
Organization
Contact information
Practice address
17360 HOLY NAMES DR, LAKE OSWEGO, OR 97034-5137
(503) 636-0235
(866) 403-7867
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 255-4079
(888) 795-0947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/26/2019
Last updated
11/15/2021
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