Organization
CREATIVE THERAPY CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M PORTER MOT, OTR/L (OCCUPATIONAL THERAPIST)
(503) 449-0788
Entity
Organization
Contact information
Practice address
5232 N INTERSTATE AVENUE, PORTLAND, OR 97217
(503) 575-9402
Mailing address
6205 N ATLANTIC AVE, PORTLAND, OR 97217-4023
(503) 449-0788
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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