Organization
PROGRESSIVE REHABILITATION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY THOMAS SMITH PH.D. (DIRECTOR)
(503) 292-0765
Entity
Organization
Contact information
Practice address
1815 SW MARLOW AVE, STE 110, PORTLAND, OR 97225-5185
(503) 292-0765
(503) 292-5208
Mailing address
1815 SW MARLOW AVE, STE 110, PORTLAND, OR 97225-5185
(503) 292-0765
(503) 292-5208
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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