Individual
BRIAN EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
200 S HAZEL DELL WAY STE 210, CANBY, OR 97013-7828
(503) 263-9550
Mailing address
1470 NE ALBERTA ST, PORTLAND, OR 97211-5062
(978) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
406379
OR
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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