Gresham Sportscare

Physical Therapy Clinic/Center · Gresham, OR

Organization Active NPI

NPI number 1487789657

Practice location

24076 SE Stark St
Ste. 200
Gresham, OR 97030-3373
Phone
(503) 491-1666

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NPI record

NPI
1487789657
Entity type
Organization (Type 2)
Enumeration date
February 21, 2007
Last updated
March 22, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Clinic/Center Primary 261QP2000X 1517 OR

Authorized official

Name
Mr. C. George Eischen Jr., PT
Title
Director
Phone
(503) 491-1666

About Gresham Sportscare

Gresham Sportscare is a healthcare organization registered in the NPI registry with the primary taxonomy Physical Therapy Clinic/Center (code 261QP2000X). The practice location is 24076 SE Stark St, Ste. 200, Gresham, OR 97030-3373. The NPI number 1487789657 was assigned on February 21, 2007 and the record was last updated on March 22, 2018.

Gresham Sportscare lists a license in the registry: #1517 (OR) for Physical Therapy Clinic/Center. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. C. George Eischen Jr., PT, Director.

Frequently asked questions

What is the NPI number of Gresham Sportscare?

The NPI number is 1487789657.

What is the phone number of Gresham Sportscare?

The phone number listed for the practice location is (503) 491-1666.

Where is Gresham Sportscare located?

24076 SE Stark St, Ste. 200, Gresham, OR 97030-3373.

What is the taxonomy code for Gresham Sportscare?

The primary taxonomy code is 261QP2000X – Physical Therapy Clinic/Center.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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