Individual
MR. JON TRAVIS HELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(503) 228-6479
(503) 228-4248
Mailing address
7216 SE 18TH AVE, PORTLAND, OR 97202-5835
(503) 771-1413
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
990717
OR
Other
Enumeration date
03/15/2008
Last updated
03/15/2008
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