Healthcare Provider Details

I. General information

NPI: 1881777837
Provider Name (Legal Business Name): MT. VIEW REHABILITATION SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5905 SE POWELL VALLEY RD
GRESHAM OR
97080-1919
US

IV. Provider business mailing address

PO BOX 525
GRESHAM OR
97030-0125
US

V. Phone/Fax

Practice location:
  • Phone: 503-665-1151
  • Fax: 503-669-1986
Mailing address:
  • Phone: 503-665-1151
  • Fax: 503-669-1986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number237123
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number229160
License Number StateOR

VIII. Authorized Official

Name: BLAISE SCOLLARD
Title or Position: OWNER
Credential:
Phone: 503-665-1151