Our Spot For Kids, LLC
Clinic/Center, Rehabilitation in Forest Grove, OR. Organization (NPI-2).
NPI number1407520596
StatusActive
Last updated in NPPESAug 3, 2021
Details
- NPI
- 1407520596
- Entity type
- Organization (NPI-2)
- Legal business name
- Our Spot For Kids, LLC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2021
- Certification date
- Aug 3, 2021
- Last updated
- Aug 3, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Practice location
2411 19th AveForest Grove, OR 97116-2895
Phone 321-412-5018
Mailing address
2411 19th AveForest Grove, OR 97116-2895
Phone 321-412-5018
Authorized official
Mandy Bowdoin
Owner/Occupational Therapist
3214125018
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