Individual
JANET KITTLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5200 SW MACADAM AVE, 100, PORTLAND, OR 97239-6103
(503) 224-1998
Mailing address
5200 SW MACADAM AVE, 100, PORTLAND, OR 97239-6103
(503) 224-1998
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
364819
OR
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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