# SPECIFIC CHOICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265784235
- **Authorized official:** MRS. JULIA KAY TINKHAM-RAY OTR/L (MEMBER)
- **Authorized official phone:** (503) 407-8179

## Contact information

- **Practice address:** 511 SW 10TH AVE, SUITE 801, PORTLAND, OR 97205-2732
- **Practice address phone:** (503) 230-8973
- **Mailing address:** 3450 COEUR D'ALENE DRIVE, WEST LINN, OR 97068
- **Mailing address phone:** (503) 407-8179
- **Mailing address fax:** (503) 723-0599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 978253 | OR | Yes |

## Other

- **Enumeration date:** 10/15/2012
- **Last updated:** 10/15/2012