Individual
JAMIE G MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
Mailing address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
429857
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
429857
STATE LICENSE
OR
Enumeration date
02/13/2020
Last updated
02/13/2020
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