Individual
KEIRSTALYN RACHEL WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L, CSRS
Contact information
Practice address
10315 NE TANASBOURNE DR, HILLSBORO, OR 97124-7836
(315) 491-3362
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
426621
OR
225X00000X
Occupational Therapist
OT61078145
WA
Other
Enumeration date
01/20/2020
Last updated
12/05/2025
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