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Individual

JENNIFER GWENDOLYN RAPPAPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2710 SE 79TH AVE, PORTLAND, OR 97206-1708
(503) 380-5550
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
233730
OR
225X00000X
Occupational Therapist
OT60016311
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0228643
WASHINGTON L&I
WA
05
218419
OR
Enumeration date
09/20/2007
Last updated
07/11/2013
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