Individual
CAITLIN NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 SE 202ND AVE, PORTLAND, OR 97233-6105
(503) 665-3118
Mailing address
725 SE 202ND AVE, PORTLAND, OR 97233-6105
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
330780
OR
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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