Organization · Type 2 NPI

Providence Health & Services - Oregon

Physical Medicine & Rehabilitation Physician · Grants Pass, OR

NPI number 1255753380 Active

Practice location

1619 NW Hawthorne Ave, Suite 206
Grants Pass, OR 97526-6008

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician Primary 208100000XNone listed
Clinic/Center 261Q00000XNone listed

Physical Medicine & Rehabilitation Physician: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively,…

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About NPI 1255753380

Providence Health & Services - Oregon's National Provider Identifier is 1255753380, issued on Jan 8, 2014. The primary taxonomy on file is Physical Medicine & Rehabilitation Physician (208100000X), and the practice location is in Grants Pass, OR. The record was last updated on Nov 19, 2025.