Individual
MS. ANNE MARIE BANASKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3151
(503) 418-9473
Mailing address
9341 SE HARNEY CT, PORTLAND, OR 97266-6137
(503) 774-0581
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
584
OR
225XH1200X
Hand Occupational Therapist
584
OR
225XN1300X
Neurorehabilitation Occupational Therapist
584
OR
225XP0019X
Physical Rehabilitation Occupational Therapist
584
OR
Other
Enumeration date
05/22/2007
Last updated
04/03/2020
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