Individual
JUSTIN TEERLINCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT/R/L
Contact information
Practice address
11304 SE 64TH AVE, MILWAUKIE, OR 97222-2328
(971) 732-6958
Mailing address
11304 SE 64TH AVE, MILWAUKIE, OR 97222-2328
(971) 732-6958
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
225X00000X
Occupational Therapist
334721
OR
Other
Enumeration date
04/22/2015
Last updated
08/22/2024
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