Individual
MS. PATRICIA ANN CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5601 SE 122ND AVE, PORTLAND, OR 97236-4601
(503) 761-3181
Mailing address
12534 SE HAROLD ST, PORTLAND, OR 97236-4223
(503) 761-3181
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
916351
OR
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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