Individual
MRS. MELISSA MOTT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
9055 SW SUNSTEAD LN, PORTLAND, OR 97225-2536
(720) 220-3454
Mailing address
9055 SW SUNSTEAD LN, PORTLAND, OR 97225-2536
(720) 220-3454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1041340
OR
Other
Enumeration date
10/22/2007
Last updated
12/02/2016
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