Organization
REHABILITATION MEDICINE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER K. LAWLOR M.D. (CORPORATION PRESIDENT)
(503) 413-6294
Entity
Organization
Contact information
Practice address
1040 NW 22ND AVE, SUITE 320, PORTLAND, OR 97210-3057
(503) 413-6294
(503) 413-7780
Mailing address
1040 NW 22ND AVE, SUITE 320, PORTLAND, OR 97210-3057
(503) 413-6294
(503) 413-7780
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031740
—
OR
Enumeration date
07/07/2006
Last updated
01/23/2018
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