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NPI 1134595002 · live from the CMS NPI Registry

Brain Rehab Network Oregon, INC.

Physical Medicine & Rehabilitation, Brain Injury Medicine in Tigard, OR. National Provider Identifier 1134595002, active.

NPI record

NPI1134595002 Type 2 · organization
StatusActive
Primary specialtyPhysical Medicine & Rehabilitation, Brain Injury Medicine 2081P0301X
Practice location7204 Sw Durham Rd Ste 100, Tigard, OR 97224
Practice phone503-941-9869
EnumeratedAugust 14, 2015
Last updatedMay 22, 2026
Authorized officialMatthew Kampfe, President/Administrator

Taxonomies and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program390200000X—
Rehabilitation Counselor225C00000X—
Occupational Therapist225X00000X—
Social Worker104100000X—
Counselor101Y00000X—
Chore Provider372500000X—
Physical Therapist225100000X—
Day Training/Habilitation Specialist373H00000X—
Technician, Personal Care Attendant3747P1801X—
Art Therapist221700000X—
Behavior Analyst103K00000X—
Adult Companion372600000X—
Occupational Therapy Assistant224Z00000X—
Physical Medicine & Rehabilitation, Brain Injury Medicine primary2081P0301X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.