Individual
JESSICA FOUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3445 BOONE RD SE, SALEM, OR 97317-9336
(503) 576-3000
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
330779
OR
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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