Individual
MISS AMY HASLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
290 MOYER LN NW, SALEM, OR 97304-3822
(503) 370-8990
(503) 363-4214
Mailing address
290 MOYER LN NW, SALEM, OR 97304-3822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
266407
OR
Other
Enumeration date
04/12/2010
Last updated
06/15/2012
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