MEDICARE: BODY INJURY & REHAB P.C.

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
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1518820323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BODY INJURY & REHAB P.C.

Provider Business Mailing Address
First Line	:	8312 E MILL PLAIN BLVD
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-2007
Country	:	US
Telephone Number	:	503-740-8640
Fax Number	:	503-512-5384

Provider Business Practice Location Address
First Line	:	8312 E MILL PLAIN BLVD
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-2007
Country	:	US
Telephone Number	:	503-740-8640
Fax Number	:	503-512-5384

Authorized Official
Title or Position	:	GOVERNING BODY
Name	:	DR. FATIMA MAGOMADOVA
Credential	:
Telephone Number	:	503-740-8640

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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