NPI 1295752236
King City Rehab, LLC
Practice location
- Address
- 16485 SW Pacific Hwy, Tigard, OR 97224-3446
- Phone
- (503) 620-5141
- Fax
- (971) 223-0410
- Mailing address
- 25117 SW Parkway Ave Suite F, Wilsonville, OR 97070-9697
Authorised official
- Name
- K. Rickard Miller
- Title
- Manager
- Phone
- (503) 570-3405
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1295752236
- Entity type
- Organization
- NPI issued
- 16 Jul 2006
- Record last updated
- 21 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.