Organization
PREMERE REHAB, LLC
Active
Other names
Infinity Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CANTRELL (VP OF COMMUNITY BASED SERVICES)
(360) 901-8111
Entity
Organization
Contact information
Practice address
13160 SE 172ND AVE, HAPPY VALLEY, OR 97086-9623
(503) 563-4930
Mailing address
8100 SW NYBERG ST STE 200, TUALATIN, OR 97062-8437
(503) 570-3665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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