# MICHELLE COLQUHOUN OT, LLC

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

## Provider details

- **NPI number:** 1699388520
- **Authorized official:** MICHELLE COLQUHOUN OT (OWNER)
- **Authorized official phone:** (541) 408-8197

## Contact information

- **Practice address:** 131 NW HAWTHORNE AVE STE 202, BEND, OR 97703-2958
- **Practice address phone:** (541) 408-8197
- **Mailing address:** 60457 ZUNI RD, BEND, OR 97702-7943
- **Mailing address phone:** (541) 408-8197

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2020
- **Last updated:** 08/29/2020