Beaverton Rehab & Specialty Care, Llc

NPI 1366469330 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1366469330
Enumeration Date 07/16/2006
Last Updated 07/30/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name K. RICKARD K. RICKARD
Position MANAGER
Phone (503) 646-7164
Fax
Practice Location
11850 SW ALLEN BLVD
BEAVERTON OR, 97005-4805, US
Phone (503) 646-7164
Fax
Business Location
25117 SW PARKWAY AVE
SUITE F
WILSONVILLE OR, 97070-9697, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Beaverton Rehab & Specialty Care, Llc NPI is 1366469330, taxonomy code is 314000000X Beaverton Rehab & Specialty Care, Llc physically located at 11850 Sw Allen Blvd, Beaverton OR, 97005-4805. NPI Number 1033115704 has the healthcare provider type.

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1366469330 NPI number is provided on an as is basis without warranty of any kind. 1366469330 is maintained by the National Plan & Provider Enumeration System. The contents of Beaverton Rehab & Specialty Care, Llc are for informational purposes only.