Individual
BONNIE OLDHAM CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
19250 SW 65TH AVE, SUITE 125, TUALATIN, OR 97062-7452
(503) 692-1670
(503) 692-1669
Mailing address
19250 SW 65TH AVE, SUITE 125, TUALATIN, OR 97062-7452
(503) 692-1670
(503) 692-1669
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
424176
OR
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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