Individual
KATHERINE MANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3060 SE STARK ST, PORTLAND, OR 97214-3053
(503) 535-4700
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
LP2697
OR
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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