Healthcare Provider Details

I. General information

NPI: 1396660981
Provider Name (Legal Business Name): TZIVION PHYSICAL MEDICINE AND REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 E GAME FARM RD
SPRINGFIELD OR
97477-1002
US

IV. Provider business mailing address

1980 KIMBERLY DR
EUGENE OR
97405-4486
US

V. Phone/Fax

Practice location:
  • Phone: 541-578-4200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: AMIT TZIVION
Title or Position: MEDICAL DIRECTOR/PHYSICIAN
Credential: MD
Phone: 248-722-0278