Individual
JENNIFER RENEE WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY SUITE 101, CONSONUS FACILITIES, MILWAUKIE, OR 97222
(971) 206-5202
Mailing address
5694 NW 179TH AVE, PORTLAND, OR 97229-1774
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
297943
OR
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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