Individual
CLAYTON ROSS BARNES-RICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
8625 SW CASCADE AVE, BEAVERTON, OR 97008-7121
(877) 755-8940
Mailing address
7125 SE LINCOLN ST, PORTLAND, OR 97215-4051
(972) 825-3561
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
356396
OR
Other
Enumeration date
07/02/2016
Last updated
11/25/2020
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