Organization · NPI-2

Access To

Clinic/Center · Portland, OR

NPI number1346134707
StatusActive
Last updated in NPPESJun 9, 2025

Details

NPI
1346134707
Entity type
Organization (NPI-2)
Legal business name
Access To
Organization subpart
No
Enumeration date
Jun 9, 2025
Certification date
Jun 8, 2025
Last updated
Jun 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

5527 Ne 35th Ave
Portland, OR 97211-7435

Phone 503-250-2893

Mailing address

5527 Ne 35th Ave
Portland, OR 97211-7435

Phone 503-250-2893

Authorized official

Kendel Noel Wheat
Occupational Therapist/Owner
5032502893

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