1548150709 NPI number — MOVEMENT LAB SPINE AND REHAB

Table of content: (NPI 1548150709)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548150709 NPI number — MOVEMENT LAB SPINE AND REHAB

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOVEMENT LAB SPINE AND REHAB
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548150709
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2825 ESSEX AVE NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBANY
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97321-9259
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-888-0396
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3111 SANTIAM HWY SE STE G
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97322-5105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-888-0396
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/08/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
OREY
Authorized Official First Name:
JASON
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
503-888-0396

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)