| Brain Rehab Network Oregon, Inc. | |
|
7204 Sw Durham Rd Ste 100 Tigard OR 97224-7574 | |
| (503) 941-9869 | |
| (503) 352-5555 |
| Full Name | Brain Rehab Network Oregon, Inc. |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 7204 Sw Durham Rd Ste 100, Tigard, Oregon |
| Authorized Official Name and Position | Matthew Carlton Kampfe (PRESIDENT/ADMINISTRATOR) |
| Authorized Official Contact | 9047183272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Rehab Network Oregon, Inc. 7204 Sw Durham Rd Ste 100 Tigard OR 97224-7574 Ph: (503) 941-9885 | Brain Rehab Network Oregon, Inc. 7204 Sw Durham Rd Ste 100 Tigard OR 97224-7574 Ph: (503) 941-9869 |
| NPI Number | 1134595002 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 04/07/2021 |
| Certification Date | 03/31/2021 |
| Medicare PECOS PAC ID | 8729400510 |
|---|---|
| Medicare Enrollment ID | O20210324000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134595002 | NPI | - | NPPES |
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