| Rehab Specialists Outpatient Llc | |
|
1300 Ne 16th Ave, Portland, OR 97232-1467 | |
| (503) 288-6671 | |
| Not Available |
| Full Name | Rehab Specialists Outpatient Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center |
| Location | 1300 Ne 16th Ave, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952075962 | NPI | - | NPPES |
| Provider Name | Zachary S Kinzer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437240967 PECOS PAC ID: 7416932322 Enrollment ID: I20040623000755 |
| Provider Name | Jennifer S Blake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154491777 PECOS PAC ID: 2163671959 Enrollment ID: I20121011000745 |
| Provider Name | Amber Lindsey Kozlov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801101746 PECOS PAC ID: 3779724729 Enrollment ID: I20130802000457 |
| Provider Name | Rebecca J Staples |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659502557 PECOS PAC ID: 0143655399 Enrollment ID: I20200512003802 |
| Provider Name | Patricia K Suhr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780355057 PECOS PAC ID: 0446648232 Enrollment ID: I20211027003046 |
| Provider Name | Nicole Haywood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821577065 PECOS PAC ID: 7810385325 Enrollment ID: I20211102000944 |
| Provider Name | Kathleen Napolina Costers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922514256 PECOS PAC ID: 0648661827 Enrollment ID: I20211222002259 |
| Provider Name | Michelle Diane Wood |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578664348 PECOS PAC ID: 0941692974 Enrollment ID: I20220124002548 |
| Provider Name | Melinda Kaye Boffing |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043958796 PECOS PAC ID: 9739567637 Enrollment ID: I20220606001524 |
| Provider Name | Allison J Van Eerden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376636076 PECOS PAC ID: 6406235225 Enrollment ID: I20220623003187 |
| Provider Name | Alexandra Kristine Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023590486 PECOS PAC ID: 6103206669 Enrollment ID: I20220630002191 |
| Provider Name | Lindsay Barrett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649647405 PECOS PAC ID: 8224418959 Enrollment ID: I20220712000730 |
| Provider Name | Nicolle Lynn Keele |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972680999 PECOS PAC ID: 0244611986 Enrollment ID: I20220713000983 |
| Provider Name | John Barnhill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053401463 PECOS PAC ID: 6305227083 Enrollment ID: I20220713002141 |
| Provider Name | Louie James Santos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861815516 PECOS PAC ID: 2163890526 Enrollment ID: I20221116002575 |
| Provider Name | Sheena Waldron |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093428302 PECOS PAC ID: 4183095276 Enrollment ID: I20230127002721 |
| Provider Name | Stacey L S Moore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558426593 PECOS PAC ID: 9739534199 Enrollment ID: I20231005000779 |
| Provider Name | Jaclyn Ann Sinauskas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326406851 PECOS PAC ID: 2961851928 Enrollment ID: I20231215001808 |
| Provider Name | Emily Vandekieft |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073206959 PECOS PAC ID: 5991158271 Enrollment ID: I20240202001859 |
| Provider Name | Hannah Elizabeth Lanstrum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518189455 PECOS PAC ID: 5193169845 Enrollment ID: I20240221001257 |
| Provider Name | Mary Catherine Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477912277 PECOS PAC ID: 0840639092 Enrollment ID: I20240419002966 |
| Provider Name | Mary Stewart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720232069 PECOS PAC ID: 6103265103 Enrollment ID: I20240423002072 |
| Provider Name | Sharon F Anoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528214293 PECOS PAC ID: 3779923537 Enrollment ID: I20240428000005 |
| Provider Name | Sierra Sparling |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184473720 PECOS PAC ID: 1557805538 Enrollment ID: I20240701003739 |
| Provider Name | Madyson Vanover |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033968086 PECOS PAC ID: 2860937612 Enrollment ID: I20240716004364 |
| Provider Name | Mary Madison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346773124 PECOS PAC ID: 5991074767 Enrollment ID: I20240926001481 |
| Provider Name | Keegan Schaub |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851988430 PECOS PAC ID: 7012324916 Enrollment ID: I20241120003058 |
| Provider Name | Megan Gloria Campbell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073682621 PECOS PAC ID: 9032646831 Enrollment ID: I20241218000367 |
| Mailing Address | Practice Location Address |
|---|---|
| Rehab Specialists Outpatient Llc 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 Ph: (971) 206-5200 | Rehab Specialists Outpatient Llc 1300 Ne 16th Ave, Portland, OR 97232-1467 Ph: (503) 288-6671 |