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General NPI Number Information
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NPI Number | 1477733590
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Entity Type | Organization
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Legal Business Name | SW REHAB ASSOCIATES LLC
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 10305 SW PARK WAY SUITE 200
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City | PORTLAND
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State | OR
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Zip | 97225-5028
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Country | US
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Telephone | 503-684-9698
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Fax |
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Provider Business Mailing Address
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Address Line | 10500 SW GREENBURG RD SUITE 200
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City | PORTLAND
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State | OR
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Zip | 97223-1406
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JEFFREY K TUNICK
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Credential |
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Telephone | 503-684-9698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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