Individual
JOSEPH MARK SEBULSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1315 NW 4TH ST, STE B, REDMOND, OR 97756-1328
(541) 923-7494
(541) 504-9153
Mailing address
11481 SW HALL BV, STE 201 THERAPEUTIC ASSOCIATES INC, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0720000310
VT
225X00000X
Occupational Therapist
Primary
1016749
OR
225X00000X
Occupational Therapist
1093
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231021
—
OR
Enumeration date
05/02/2006
Last updated
07/08/2007
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