Erin Wallace, OTD, OTR/L
Occupational Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1033859798
StatusActive
Last updated in NPPESJul 27, 2026
Details
- NPI
- 1033859798
- Entity type
- Individual (NPI-1)
- Name
- Erin Wallace
- Credential
- OTD, OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2022
- Certification date
- Jul 27, 2026
- Last updated
- Jul 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225XM0800X | Occupational Therapist, Mental Health | – | – | |
| 225XP0200X | Occupational Therapist, Pediatrics | – | – |
Practice location
2130 Sw Camelot Ct Apt 48Portland, OR 97225-3763
Phone 678-451-8676
Mailing address
2130 Sw Camelot Ct Apt 48Portland, OR 97225-3763
Phone 678-451-8676
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All 409 Occupational Therapist providers in Portland · All 48,847 providers in Portland
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