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Individual

MR. CHRISTIANO PETER SCARCELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-4087
Mailing address
2195 NW 18TH AVE APT 426, PORTLAND, OR 97209-2475
(503) 593-6008

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
400384
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
400384
STATE OF OREGON OCCUPATIONAL THERAPY LICENSING BOARD
OR
Enumeration date
10/02/2018
Last updated
10/02/2018
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