Individual
AMANDA FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 DIVISION ST, OREGON CITY, OR 97045-1525
(503) 656-0367
Mailing address
1400 DIVISION ST, OREGON CITY, OR 97045-1525
(503) 656-0367
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
330094
OR
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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