Individual
MS. SANDI JO MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11782 SW BARNES RD, STE 300, PORTLAND, OR 97225-5914
(503) 214-5200
(503) 906-6613
Mailing address
11782 SW BARNES RD, STE 300, PORTLAND, OR 97225-5914
(503) 214-5200
(503) 906-6613
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
994326
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
994326
O.T. LICENSE #
OR
Enumeration date
04/20/2010
Last updated
12/02/2013
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