Organization Active NPI

Resurgent Health, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Gresham, OR
National Provider Identifier
1265062202
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
RESURGENT HEALTH, LLC
Practice address
2850 SE Powell Valley Rd Ste 205a
Gresham, OR 97080-1489
Phone
(503) 484-6128
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Benjamin L. Heath, DC
Title
Owner
Phone
(503) 484-6128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

2850 SE Powell Valley Rd Ste 205a
Gresham, OR 97080-1489

Mailing address

13203 SE 172ND Ave Ste 166
Happy Valley, OR 97086-8738
Phone (503) 484-6128

National Provider Directory

National Provider Directory

Locations

2850 SE Powell Valley Rd
Ste 205A
Gresham, OR 97080
Phone (503) 484-6128

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1265062202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 SE 172ND AVE STE 166",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868738",
            "telephone_number": "503-484-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SE POWELL VALLEY RD STE 205A",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970801489",
            "telephone_number": "503-484-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENT HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-484-6128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.