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General NPI Number Information
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NPI Number | 1972329431
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Entity Type | Organization
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Legal Business Name | SURGERY RECOVERY CLINIC, LLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 5816 SE POWELL BLVD STE 102
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City | PORTLAND
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State | OR
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Zip | 97206-2860
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Country | US
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Telephone | 503-888-0708
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Fax | 844-918-5005
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Provider Business Mailing Address
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Address Line | 5816 SE POWELL BLVD STE 102
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City | PORTLAND
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State | OR
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Zip | 97206-2860
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Country | US
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Telephone | 503-888-0708
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Fax | 844-918-5005
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Authorized Official
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Title or Position | OWNER
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Name | ISABEL SPRADLIN
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Credential | RN, LMT, CLWT
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Telephone | 503-888-0708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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