# PT & OT OF OREGON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PACIFIC NORTHWEST PEDIATRIC THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396957817
- **Authorized official:** MR. GREGORY LEE WHITE (MEMBER)
- **Authorized official phone:** (206) 367-5853

## Contact information

- **Practice address:** 4305 SE MILWAUKIE AVE, PORTLAND, OR 97202-3960
- **Practice address phone:** (503) 232-3955
- **Mailing address:** 18801 37TH AVE NE, LAKE FOREST PARK, WA 98155-2713
- **Mailing address phone:** (206) 367-5853
- **Mailing address fax:** (206) 367-9609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/22/2020