Performance Modalities Inc

Specialty details in registry · Gresham, OR

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At a glance

21606 Se Stark St, Gresham, OR 97030-2028

NPPES record updated Jul 17, 2024. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

21606 Se Stark St
Gresham, OR 97030-2028
Professional details: NPI, taxonomy & registry record
NPI1790326882
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
332BX2000X
Enumeration date
Oct 1, 2019
Record updated
Jul 17, 2024
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

332B00000X

Specialty details in registry

332BX2000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

21606 Se Stark St
Gresham, OR 97030-2028
Phone
(866) 687-4463
Fax
(877) 414-2727
Mailing address
PO BOX 94307

SEATTLE, WA 981246607
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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