Kristen Renee Ax, COTA
Occupational Therapy Assistant in Portland, OR. Individual provider (NPI-1).
NPI number1669966636
StatusActive
Last updated in NPPESJun 21, 2018
Details
- NPI
- 1669966636
- Entity type
- Individual (NPI-1)
- Name
- Kristen Renee Ax
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2018
- Last updated
- Jun 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | – | – | Yes |
Practice location
3060 Se Stark StPortland, OR 97214-3053
Phone 503-535-4700
Mailing address
3021 Ne Glisan St Apt 105Portland, OR 97232-3286
Phone 757-773-1158
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Other Occupational Therapy Assistant providers in Portland, OR
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All 70 Occupational Therapy Assistant providers in Portland · All 48,847 providers in Portland
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