Healthcare Provider Details

I. General information

NPI: 1518820323
Provider Name (Legal Business Name): BODY INJURY & REHAB P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8312 E MILL PLAIN BLVD
VANCOUVER WA
98664-2007
US

IV. Provider business mailing address

8312 E MILL PLAIN BLVD
VANCOUVER WA
98664-2007
US

V. Phone/Fax

Practice location:
  • Phone: 503-740-8640
  • Fax: 503-512-5384
Mailing address:
  • Phone: 503-740-8640
  • Fax: 503-512-5384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. FATIMA MAGOMADOVA
Title or Position: GOVERNING BODY
Credential:
Phone: 503-740-8640