Gresham Sportscare
Gresham Sportscare is a healthcare organization registered as Physical Therapy Clinic/Center in Gresham, OR, holding Type 2 (organization) NPI 1487789657 since 2007. The authorized official on file is C. Eischen, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487789657 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gresham Sportscare |
| Practice address | 24076 SE STARK ST, STE. 200, Gresham, OR, 97030 |
| Phone | 5034911666 |
| Enumeration date | 2007-02-21 |
| Last updated in NPPES | 2018-03-22 |
Authorized official
| Name | C. Eischen |
|---|---|
| Title | Director |
| Phone | 5034911666 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2000X | Physical Therapy Clinic/Center | Primary | 1517 | OR |
Copy-ready billing details
Provider: Gresham Sportscare NPI: 1487789657 Taxonomy: 261QP2000X (Physical Therapy Clinic/Center) Address: 24076 SE STARK ST, STE. 200, Gresham, OR, 97030
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720070873 | Shammai Rockove | Individual | Urology Physician | Gresham, OR |
| 1063401198 | Gresham Professional Pharmacy | Organization | Community/Retail Pharmacy | Gresham, OR |
| 1043292311 | Clem Eischen | Individual | Physical Therapist | Gresham, OR |
| 1386619534 | Heather Odell | Individual | Orthopedic Physical Therapist | Gresham, OR |
| 1265407019 | Roya Mansouri | Individual | Otolaryngology Physician | Gresham, OR |
| 1649245499 | Roger Wobig | Individual | Otolaryngology Physician | Gresham, OR |
| 1104875053 | Mountainview Mri LLC | Organization | Physiological Laboratory | Gresham, OR |
| 1720028335 | Christy Buckman | Individual | Otolaryngology Physician | Gresham, OR |
Verify this record
Cross-check NPI 1487789657 against the authoritative CMS record: view Gresham Sportscare on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Gresham Sportscare?
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2018-03-22.