Individual
MRS. TANA RAE ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2262 BANYONWOOD AVE NW, SALEM, OR 97304-1341
(503) 580-5475
(503) 362-6071
Mailing address
2262 BANYONWOOD AVE NW, SALEM, OR 97304-1341
(503) 580-5475
(503) 362-6071
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1003215
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206974
—
OR
Enumeration date
02/26/2007
Last updated
07/09/2007
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