| Northwest Rehabilitation | |
|
815 S Vassault St Tacoma WA 98465-2008 | |
| (253) 444-3427 | |
| Not Available |
| Full Name | Northwest Rehabilitation |
|---|---|
| Speciality | Internal Medicine |
| Location | 815 S Vassault St, Tacoma, Washington |
| Authorized Official Name and Position | Priyan Perera (OWNER) |
| Authorized Official Contact | 2534443427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Rehabilitation Po Box 66657 Seattle WA 98166-0657 Ph: (206) 453-1818 | Northwest Rehabilitation 815 S Vassault St Tacoma WA 98465-2008 Ph: (253) 444-3427 |
| NPI Number | 1912563982 |
|---|---|
| Provider Enumeration Date | 05/15/2019 |
| Last Update Date | 07/28/2020 |
| Medicare PECOS PAC ID | 2062747330 |
|---|---|
| Medicare Enrollment ID | O20190709000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912563982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| Provider Name | Priyan V Perera |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629202627 PECOS PAC ID: 2668792698 Enrollment ID: I20150514002233 |
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