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Active NPI 1487789657 Organization (Entity Type 2)

Gresham Sportscare

Clinic/Center - Physical Therapy • Gresham, OR

About Gresham Sportscare NPI 1487789657 Summary

Gresham Sportscare is a verified healthcare organization specializing in Clinic/Center - Physical Therapy operating in Gresham, OR. Located at 24076 SE STARK ST, STE. 200, this facility provides patient care and medical services under National Provider Identifier (NPI) 1487789657.

Administrative operations and authorized compliance are overseen by C. Eischen (Director).

The facility is associated with 20 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

24076 Se Stark St
Ste. 200

Gresham, OR 970303373

Telephone 5034911666

Authorized Official Information

Authorized Contact Name

MR. C. Eischen , PT

Title / Role

Director

Official Telephone

5034911666

Facility Classifications & Specialties

Clinic/Center - Physical Therapy Primary Taxonomy

NUCC Taxonomy Code: 261QP2000X

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

20 Linked
Clem Eischen , PT NPI 1043292311

Physical Therapist

Gresham, OR

View Practitioner Profile →

Otolaryngology

Gresham, OR

View Practitioner Profile →

Specialist

Gresham, OR

View Practitioner Profile →
Jess Meyer , PA-C NPI 1245256981

Physician Assistant - Surgical

Gresham, OR

View Practitioner Profile →

Otolaryngology

Gresham, OR

View Practitioner Profile →

Podiatrist - Foot & Ankle Surgery

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events
🏛️
Organization / Clinic Name Updated March 22, 2018

Operating as GRESHAM SPORTSCARE

NPI Profile Active May 27, 2009

NPI status registered as active in NPPES database

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Updated Practice Location May 27, 2009

Registered at 24076 SE STARK ST, STE. 200, GRESHAM, OR 970303373 (Tel: 5034911666)

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Updated Business Mailing Address May 27, 2009

Registered at 24076 SE STARK ST, STE. 200, GRESHAM, OR 970303373 (Tel: 5034911666)

🏛️
Organization / Clinic Name Updated May 27, 2009

Operating as GRESHAM SPORTSCARE, PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2009

Clinic/Center (License #1517 in OR)

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Initial NPI Registration & Enumeration February 21, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1487789657
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: February 21, 2007
Last Update: March 22, 2018

Mailing Address

24076 Se Stark St, Ste. 200

Gresham, OR 970303373

Phone: 5034911666

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.