Individual
MRS. ARUNDHATI MAHAPATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BOT,DROT
Contact information
Practice address
5701 SW MULTNOMAH BLVD, PORTLAND, OR 97219-3195
(503) 244-1107
Mailing address
13180 NW HARTFORD ST, PORTLAND, OR 97229-3759
(503) 629-9868
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1043570
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043570
OT STATE LICENSE
OR
05
—
275094
—
OR
Enumeration date
07/05/2007
Last updated
02/10/2014
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