Lags Spine and Sportscare Medical Centers, Inc.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.

Practice address

17175 SW Tualatin Valley Hwy
Beaverton, OR 97003-4584

Phone

(805) 736-7886

Fax

(805) 736-7867

NPI assigned

Aug 7, 2018

Organization subpart

No

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

Authorized official

Name

Sara Showers

Title

Medical Billing Specialist Lead

Phone

(805) 928-7361

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1407335979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 NORTH I STREET",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-736-7886",
            "fax_number": "805-736-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17175 SW TUALATIN VALLEY HWY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970034584",
            "telephone_number": "805-736-7886",
            "fax_number": "805-736-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "SHOWERS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST LEAD",
        "authorized_official_telephone_number": "805-928-7361"
    },
    "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": []
}

• Courtney Lackey, M.S., CCC-SLP
• Veronica Lacquement-Worcester
• Josh Lafevre, LMT
• Scott Andrew Lagravinese, MA
• Lags Spine and Sportscare Medical Centers, Inc.
• Kevin Soon-Sian Lai, DO
• Carrie Bullack Laird, DMD
• Ryan Laird
• Alicia Lajeunesse
• Marcy G Lake, D.O.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.