Reperio Health, Inc.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

REPERIO HEALTH, INC.

Practice address

4784 SE 17TH Ave Ste 120
Portland, OR 97202-4715

Phone

(844) 504-0402

Fax

(503) 296-5806

NPI assigned

Sep 4, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Travis Benjamin Rush

Title

Ceo

Phone

(503) 522-8024

Specialties & licenses 1

Addresses

Other names 1

• Reperio Health, Inc. Doing business as

Locations

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1740066950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4784 SE 17TH AVE STE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024715",
            "telephone_number": "844-504-0402",
            "fax_number": "503-296-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4784 SE 17TH AVE STE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024715",
            "telephone_number": "844-504-0402",
            "fax_number": "503-296-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPERIO HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-522-8024",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reperio Health, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Einar Renwick, MD
• Dominique Kristine Renyer, BA
• Julia L Reodica, RN, FNP-C
• Repare Massage LLC
• Reperio Health Medical Group, PLLC
• Marilyn Louise Replogle, M.D.
• Kristin Repnik, MOT/OTR/L
• Kayla Repp
• Sarah Reppenhagen, OTR/L
• Heather F Reppeto, QMHP-R

• Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.