Individual
ISMIRA STILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
30900 SW PARKWAY AVE, WILSONVILLE, OR 97070-7835
(503) 682-2840
Mailing address
19755 SPRING RIDGE DR, WEST LINN, OR 97068-4822
(503) 560-7850
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
397212
OR
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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