Organization Active NPI

Touchmark at Fairway Village LLC

Doing business as Touchmark Outpatient Rehab Clinic

  • Rehabilitation Clinic/Center
  • Vancouver, WA
National Provider Identifier
1780764332
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
TOUCHMARK AT FAIRWAY VILLAGE LLC
Doing business as
Touchmark Outpatient Rehab Clinic
Practice address
2911 SE Village Loop
Vancouver, WA 98683-8103
Phone
(360) 253-3855
Fax
(360) 433-6567
NPI assigned
Oct 17, 2006
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Mr. Brian E Pryor
Title
VP Operations
Phone
(503) 646-5186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

2911 SE Village Loop
Vancouver, WA 98683-8103

Mailing address

5150 SW Griffith Dr
Beaverton, OR 97005-2935
Phone (503) 646-5186

Other names 1

  • Touchmark Outpatient Rehab Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D1049339Touchmark at Fairway Village2911 SE Village Loop, Vancouver, WA 98683Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1780764332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 SW GRIFFITH DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052935",
            "telephone_number": "503-646-5186",
            "fax_number": "503-644-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 SE VILLAGE LOOP",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838103",
            "telephone_number": "360-253-3855",
            "fax_number": "360-433-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCHMARK AT FAIRWAY VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "503-646-5186",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Touchmark Outpatient Rehab Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.