BRAIN REHAB NETWORK OREGON INC. NPI 1134595002

NPI Information

NPI: 1134595002
Provider Name: BRAIN REHAB NETWORK OREGON, INC.
Classification: Physical Medicine & Rehabilitation - 2081P0301X
Entity Type: Organization

Specialization: Brain Injury Medicine

Address:
7204 SW DURHAM RD STE 100
TIGARD, OR
ZIP 97224
Phone: (503) 941-9869
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BRAIN REHAB NETWORK OREGON, INC. is a brain injury medicine physical medicine rehabilitation in Tigard, OR. The provider is a Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences. BRAIN REHAB NETWORK OREGON, INC. NPI is 1134595002. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7204 SW DURHAM RD STE 100
TIGARD, OR
ZIP 97224-574
Phone: (503) 941-9869
Fax: (503) 352-5555

The provider's authorized official is Matthew Carlton Kampfe .
The authorized official title is President/administrator and has the following contact phone number (904) 718-3272.

The enumeration date for this NPI number is 8/14/2015 and was last updated on 4/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	104100000X	Social Worker		No
3	221700000X	Art Therapist		No
4	224Z00000X	Occupational Therapy Assistant		No
5	225100000X	Physical Therapist		No
6	225C00000X	Rehabilitation Counselor		No
7	225X00000X	Occupational Therapist		No
8	372500000X	Chore Provider		No
9	372600000X	Adult Companion		No
10	373H00000X	Day Training/Habilitation Specialist		No
11	3747P1801X	Technician	Personal Care Attendant	No
12	390200000X	Student in an Organized Health Care Education/Training Program		No
13	103K00000X	Behavior Analyst		No
14	2081P0301X	Physical Medicine & Rehabilitation	Brain Injury Medicine	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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