# TRANSFORMATIVE WELLNESS SOLUTIONS LLC

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

## Provider details

- **NPI number:** 1306694393
- **Authorized official:** ZIPPORAH BROWN PPOTD, MS, OTR/L (OWNER)
- **Authorized official phone:** (909) 782-6475

## Contact information

- **Practice address:** 525 3RD ST STE 200, LAKE OSWEGO, OR 97034-3082
- **Practice address phone:** (909) 782-6475
- **Mailing address:** 525 3RD ST STE 200, LAKE OSWEGO, OR 97034-3082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 225XM0800X | Mental Health Occupational Therapist | — | NULL | — |
| 225XM0800X | Mental Health Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 05/07/2024
- **Last updated:** 05/07/2024