Individual
MICHELLE M COLQUHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, OT/L
Contact information
Practice address
408 NE HAWTHORNE AVE, BEND, OR 97701-4729
(503) 657-8903
(503) 650-4302
Mailing address
610 HIGH ST, OREGON CITY, OR 97045-2241
(503) 657-8903
(503) 650-4302
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1031407
OR
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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