Iris Rehabilitation, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

IRIS REHABILITATION, LLC

Practice address

205 SE Spokane St Ste 359
Portland, OR 97202-6494

Phone

(503) 766-2302

Fax

(503) 832-5389

NPI assigned

Feb 20, 2021

Organization subpart

No

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

Authorized official

Name

Gretchen Oberle

Title

Owner

Phone

(503) 766-2302

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666483200000",
    "number": "1992399935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42312",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972420312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 359",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026494",
            "telephone_number": "503-766-2302",
            "fax_number": "503-832-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-20",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A",
        "authorized_official_last_name": "OBERLE",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-766-2302"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan C Iregui, MD
• Ashley Ireland
• Dominique Irigoin, CRNA
• Irina Stignei OD PC
• Iris Acupuncture Clinic LLC
• Kalie Ann Iris, AGPCNP-BC
• Jason M. Irish
• Jessica Irish
• Kelly Amanda Irish
• Irl Social Skills

• Physical Therapy Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2022; 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.