1. Home
  2. Directory
  3. Oregon
  4. Lake Oswego
  5. Clinic Center
  6. NPI Profile

REHAB SPECIALISTS OUTPATIENT, LLC
NPI 1467241406
Clinic/Center in Lake Oswego, OR

Active since May 05, 2025
17360 HOLY NAMES DR, LAKE OSWEGO, OR 97034(503) 675-2004 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rehab Specialists Outpatient, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REHAB SPECIALISTS OUTPATIENT, LLC (NPI 1467241406), doing business as Agestrong Mary's Woods At Marylhurst, is a healthcare organization registered as a clinic/center in Lake Oswego, Oregon and active in the NPI registry since May 2025. The organization lists Staci Tone, Corporate Controller, as its authorized official.

NPPES Registry Identity

NPI1467241406
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREHAB SPECIALISTS OUTPATIENT, LLC
Location Address17360 HOLY NAMES DRLake Oswego, OR 97034-5137
Mailing Address4560 Se International Way Ste 100Milwaukie, OR 97222-4628 · (971) 206-5100 · Fax (971) 318-6508
Phone(503) 675-2004
Organization SubpartNo
Authorized OfficialStaci ToneCorporate Controller · (971) 206-5125
Enumeration DateMay 5, 2025
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1467241406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
17360 HOLY NAMES DR, Lake Oswego, OR 97034
Open in Google Maps ↗

Other Names 1

Doing Business AsAgestrong Mary's Woods At Marylhurst

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH IRWIN JOHNSON
Occupational Therapist
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 675-2004
BRIGHID GRIOSAL O'NEILL SLP
Speech-Language Pathologist
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 675-2475
MARY'S WOODS AT MARYLHURST, INC
Skilled Nursing Facility
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 675-2475
MRS. CARLEE OLSON GOOD D.P.T.
Physical Therapist
17360 HOLY NAMES DR, BUILDING D
LAKE OSWEGO, OR 97034
Clackamas County (503) 675-2004
MR. MARK GERARD DUYCK PTA
Physical Therapy Assistant
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 675-2449
PREMERE REHAB LLC
Physical Therapist
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 636-0235
SHARLA SMITH PTA
Physical Therapy Assistant
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034
Clackamas County (541) 646-1946
ERIC-PAUL SPARROW PTA
Physical Therapy Assistant
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 636-0235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rehab Specialists Outpatient, LLC's NPI number?

The NPI number for Rehab Specialists Outpatient, LLC is 1467241406. It was assigned to this organization in the NPPES registry on May 5, 2025. The provider is doing business as AgeSTRONG Mary's Woods at Marylhurst.

Where is Rehab Specialists Outpatient, LLC located?

Rehab Specialists Outpatient, LLC is located at 17360 Holy Names Dr, Lake Oswego, OR 97034. The listed phone number is (503) 675-2004.

What is Rehab Specialists Outpatient, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Rehab Specialists Outpatient, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Rehab Specialists Outpatient, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rehab Specialists Outpatient, LLC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.