Progressive Rehabilitation Associates LLC
Clinic/Center in Portland, OR. Organization (NPI-2).
NPI number1790760908
StatusActive
Last updated in NPPESNov 3, 2026
Details
- NPI
- 1790760908
- Entity type
- Organization (NPI-2)
- Legal business name
- Progressive Rehabilitation Associates LLC
- Organization subpart
- No
- Enumeration date
- Dec 9, 2005
- Certification date
- Nov 3, 2026
- Last updated
- Nov 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
4640 S Macadam Ave Ste 90Portland, OR 97239-4285
Phone 503-292-0765 · Fax 503-292-5208
Mailing address
4640 S Macadam Ave Ste 90Portland, OR 97239-4285
Phone 503-292-0765 · Fax 503-292-5208
Authorized official
Margaret S Pemberton
Vice President & Manager
5023942100
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