Individual
MS. NANCY JEAN FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
390 CHURCH ST, SUBLIMITY, OR 97385
(971) 206-5200
(971) 206-5211
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5211
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
84510
OR
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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