Healthcare Provider Details

I. General information

NPI: 1154475762
Provider Name (Legal Business Name): NEUROTHERAPEUTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 HIGH STREET
OREGON CITY OR
97045
US

IV. Provider business mailing address

PO BOX 1126 610 HIGH STREET
OREGON CITY OR
97045
US

V. Phone/Fax

Practice location:
  • Phone: 503-657-8903
  • Fax: 503-650-4302
Mailing address:
  • Phone: 503-657-8903
  • Fax: 503-650-4302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN MARIE BRELJE
Title or Position: CLINIC DIRECTOR OWNER
Credential:
Phone: 503-657-8903