LEGACY PHYSIATRY GROUP OREGON, LLC

LAKE OSWEGO, OR
NPI1194197442
Entity TypeOrganization
Authorized ContactVIVEK SASTRY
CEO
972-372-1663
Organization Subpart ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
207R00000X Internal Medicine
207RC0000X Internal Medicine, Cardiovascular Disease
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2015-10-27
Last Update Date2015-10-27
Business Address
LEGACY PHYSIATRY GROUP OREGON, LLC
5 CENTERPOINTE DR STE 400
LAKE OSWEGO, OR 97035-8651
Phone number: 972-372-1663
Mailing Address
LEGACY PHYSIATRY GROUP OREGON, LLC
850 CENTRAL PKWY E STE 275
PLANO, TX 75074-5561
Phone number: 972-372-1663
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