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NPI Code Detail

MEDICARE: BRAIN REHAB NETWORK OREGON, INC.

MEDICARE: BRAIN REHAB NETWORK OREGON, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2225C00000XRehabilitation Counselor
3225X00000XOccupational Therapist
4104100000XSocial Worker
5101Y00000XCounselor
6372500000XChore Provider
7225100000XPhysical Therapist
8373H00000XDay Training/Habilitation Specialist
93747P1801XPersonal Care Attendant
10221700000XArt Therapist
11103K00000XBehavior Analyst
12372600000XAdult Companion
13224Z00000XOccupational Therapy Assistant
142081P0301XBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number : 1134595002
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRAIN REHAB NETWORK OREGON, INC.
Provider Business Mailing Address
First Line : 7204 SW DURHAM RD STE 100
Second Line :
City : TIGARD
State : OR
Zip : 97224-7574
Country : US
Telephone Number : 503-941-9886
Fax Number : 503-352-5555
Provider Business Practice Location Address
First Line : 7204 SW DURHAM RD STE 100
Second Line :
City : TIGARD
State : OR
Zip : 97224-7574
Country : US
Telephone Number : 503-941-9869
Fax Number : 503-352-5555
Authorized Official
Title or Position : PRESIDENT/ADMINISTRATOR
Name : MR. MATTHEW CARLTON KAMPFE
Credential :
Telephone Number : 904-718-3272
Provider Enumeration Date : 08/14/2015
Last Update Date : 05/22/2026

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