Active NPI
Resurgent Health, LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Gresham, OR
National Provider Identifier
1265062202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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 DirectoryLocations
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.