Pt & Ot Of Oregon, LLC
Occupational Therapist in Portland, OR. Organization (NPI-2).
NPI number1396957817
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1396957817
- Entity type
- Organization (NPI-2)
- Legal business name
- Pt & Ot Of Oregon, LLC
- Organization subpart
- No
- Enumeration date
- May 4, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Other names
- Pacific Northwest Pediatric Therapy (Doing Business As)
Practice location
4305 Se Milwaukie AvePortland, OR 97202-3960
Phone 503-232-3955
Mailing address
18801 37th Ave NeLake Forest Park, WA 98155-2713
Phone 206-367-5853 · Fax 206-367-9609
Authorized official
Gregory Lee White
Member
2063675853
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