Individual
CARLEEN DAWN EGLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
8028 E BURNSIDE ST, PORTLAND, OR 97215-1549
(503) 502-7515
Mailing address
8028 E BURNSIDE ST, PORTLAND, OR 97215-1549
(503) 502-7515
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
500091
OR
Other
Enumeration date
09/10/2019
Last updated
09/20/2023
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