Provider Demographics
NPI:1275622847
Name:OREGAN REHABILITATION SERVICES, PC
Entity Type:Organization
Organization Name:OREGAN REHABILITATION SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:OREGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:808-349-4432
Mailing Address - Street 1:530 KAHA ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2009
Mailing Address - Country:US
Mailing Address - Phone:808-349-4432
Mailing Address - Fax:808-744-5024
Practice Address - Street 1:530 KAHA ST
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2009
Practice Address - Country:US
Practice Address - Phone:808-349-4432
Practice Address - Fax:808-744-5024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2625225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty