Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Regenerative Orthopedic Center LLC

Organization Orthopaedic Surgery Physician · NPI 1124891635

Regenerative Orthopedic Center LLC is an Orthopaedic Surgery Physician in Oregon City, Oregon. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1508 Division St Ste 105
Oregon City, OR 97045-1584
Phone: (503) 656-0836
Fax: (503) 656-9464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1124891635
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRegenerative Orthopedic Center LLC
Authorized official Amanda Koenig — Coo · (503) 905-4102
NPI enumeratedNovember 6, 2023
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023
Mailing address7111 Sw Nyberg St, Tualatin, OR 97062-6245

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