Individual
COURTNEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 SW MULTNOMAH BLVD, PORTLAND, OR 97219-3195
(503) 244-1107
Mailing address
8145 SW CONNEMARA TER, BEAVERTON, OR 97008-6940
(503) 505-8299
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
477256
OR
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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