Organization
PREMERE REHAB LLC
Active
Parent organization
PREMERE REHAB LLC
Other names
Infinity Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMERE REHAB LLC
Authorized official
TAMMY MCCOY (CREDENTIALING SPECIALIST)
(503) 496-5057
Entity
Organization
Contact information
Practice address
14570 SW HART RD, BEAVERTON, OR 97007-7000
(503) 626-5100
(503) 526-3803
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
03/02/2023
Last updated
03/02/2023
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