| Jennifer Suzanne Blake, PHYSCIAL THERAPIST | |
|
4560 Se International Way, Consonus Rehab Services, Milwaukie, OR 97222 | |
| (971) 206-5140 | |
| (971) 206-5209 |
| Full Name | Jennifer Suzanne Blake |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4560 Se International Way, Milwaukie, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154491777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5243 (Oregon) | Primary |
| Provider Name | Rehab Specialists Outpatient Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952075962 PECOS PAC ID: 6507254497 Enrollment ID: O20211026002073 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Suzanne Blake, PHYSCIAL THERAPIST 4560 Se International Way, Milwaukie, OR 97222 Ph: (971) 206-5140 | Jennifer Suzanne Blake, PHYSCIAL THERAPIST 4560 Se International Way, Consonus Rehab Services, Milwaukie, OR 97222 Ph: (971) 206-5140 |
Joan Luna Vicente, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way, Consonus Healthcare Services Suite 100, Milwaukie, OR 97222 Phone: 971-206-5149 Fax: 971-206-5209 | |
Ms. Jamilyn D Jeffrey, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way Suite 100, Consonus Healthcare Services, Milwaukie, OR 97222 Phone: 971-206-5149 Fax: 971-206-5209 | |
North Lake Physical Therapy And Rehabilitation, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4606 Se Boardman Ave, Milwaukie, OR 97267 Phone: 503-353-9776 Fax: 503-353-9777 | |
Michelle Longa, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way, Ste 100, Milwaukie, OR 97222 Phone: 971-206-5237 | |
Molly Larson Peichel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12045 Se Stanley Ave, Milwaukie, OR 97222 Phone: 503-659-2323 | |
Mr. Ron D Drago, OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way, Suite 100 Consonus Healthcare Services, Milwaukie, OR 97222 Phone: 971-206-5129 Fax: 971-206-5209 | |
Scott Coats, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way, Consonus Rehab Services, Milwaukie, OR 97222 Phone: 971-206-5140 Fax: 971-206-5209 |