Progressive Rehabilitation Associates Llc | |
1815 Sw Marlow Ave Suite 110 Portland OR 97225-5185 | |
(503) 292-0765 | |
(503) 292-5208 |
Full Name | Progressive Rehabilitation Associates Llc |
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Speciality | Clinic/Center |
Location | 1815 Sw Marlow Ave, Portland, Oregon |
Authorized Official Name and Position | Heather Wilson (NATIONAL CRED MANAGER) |
Authorized Official Contact | 5022723463 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Progressive Rehabilitation Associates Llc 1815 Sw Marlow Ave Suite 110 Portland OR 97225-5185 Ph: (503) 292-0765 | Progressive Rehabilitation Associates Llc 1815 Sw Marlow Ave Suite 110 Portland OR 97225-5185 Ph: (503) 292-0765 |
NPI Number | 1790760908 |
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Provider Enumeration Date | 12/09/2005 |
Last Update Date | 02/13/2023 |
Medicare PECOS PAC ID | 3476547258 |
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Medicare Enrollment ID | O20040413001850 |
Identifier | Type | State | Issuer |
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1790760908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Darren J Packard |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1245334234 PECOS PAC ID: 2961554316 Enrollment ID: I20090715000345 |
Provider Name | Gregory Smith |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1427152412 PECOS PAC ID: 9638163413 Enrollment ID: I20120223000996 |
Provider Name | Amy T Monaghan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972159507 PECOS PAC ID: 3274961966 Enrollment ID: I20200311001158 |
Provider Name | Ricki Bartour |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194375998 PECOS PAC ID: 8426387465 Enrollment ID: I20230327001541 |
Provider Name | Sarah Kotel |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770360414 PECOS PAC ID: 6709237621 Enrollment ID: I20240104003397 |
Provider Name | Brittany Victoria Dickason |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235979311 PECOS PAC ID: 8426593690 Enrollment ID: I20240711002854 |
Provider Name | Amy Rose Doherty Magallan |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1164807590 PECOS PAC ID: 6709327117 Enrollment ID: I20240925000094 |
Provider Name | Amy Mangum |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134766108 PECOS PAC ID: 9830630169 Enrollment ID: I20240926000442 |
Provider Name | Stephanie Cooper |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1669149035 PECOS PAC ID: 1456892793 Enrollment ID: I20240926000898 |
Provider Name | Danielle Lauren Beck |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447945761 PECOS PAC ID: 1052846441 Enrollment ID: I20241121003408 |
Provider Name | Jennifer Jeanne Flentke |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992083927 PECOS PAC ID: 3072816750 Enrollment ID: I20241204003246 |
Woodstock Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908 | |
Internal Medicine Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158 | |
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301 | |