Individual
KATHERINE BREITHAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-2762
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
(503) 494-4447
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
392089
OR
Other
Enumeration date
07/08/2017
Last updated
05/07/2020
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