Individual
GINA DEEANN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
401 N DIXON ST, PORTLAND, OR 97227-1865
(503) 916-2000
Mailing address
401 N DIXON ST, PORTLAND, OR 97227-1865
(503) 916-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
914222
OR
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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