Individual
OLIVIA JEANNE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
11855 NE GLENN WIDING DR BLDG F, PORTLAND, OR 97220-9057
(503) 256-6500
Mailing address
11855 NE GLENN WIDING DR BLDG F, PORTLAND, OR 97220-9057
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
274905
OR
Other
Enumeration date
04/28/2009
Last updated
04/22/2024
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