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NPI Code Detail

MEDICARE: NEWPORT REHABILITATION, LLC

MEDICARE: NEWPORT REHABILITATION, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1184768772
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEWPORT REHABILITATION, LLC
Provider Business Mailing Address
First Line : 25117 SW PARKWAY AVE
Second Line : SUITE F
City : WILSONVILLE
State : OR
Zip : 97070-9697
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 835 SW 11TH ST
Second Line :
City : NEWPORT
State : OR
Zip : 97365-4802
Country : US
Telephone Number : 541-265-5356
Fax Number :
Authorized Official
Title or Position : CEO
Name : KARL MILLER JR.
Credential :
Telephone Number : 503-570-3405
Provider Enumeration Date : 02/16/2007
Last Update Date : 02/17/2025

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Directions to “NEWPORT REHABILITATION, LLC ” Practice Location

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