Individual
ALEXANDRA BLYTHE MATULEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OT
Contact information
Practice address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
(503) 666-2444
Mailing address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
(503) 666-2444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
451324
STATE OF OREGON
OR
Enumeration date
04/05/2021
Last updated
04/05/2021
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