Individual
MRS. LORA BEA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
8995 SW MILEY RD STE 109, WILSONVILLE, OR 97070-5485
(503) 694-8366
(503) 694-8581
Mailing address
8995 SW MILEY RD STE 109, WILSONVILLE, OR 97070-5485
(503) 694-8366
(503) 694-8581
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
353025
OR
225XH1200X
Hand Occupational Therapist
353025
OR
225XP0200X
Pediatric Occupational Therapist
Primary
353025
OR
Other
Enumeration date
02/23/2016
Last updated
02/12/2019
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