Individual
AMY CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
200 NE MOTHER JOSEPH PL, SUITE 110, VANCOUVER, WA 98664-3299
(360) 254-6161
(360) 449-1139
Mailing address
200 NE MOTHER JOSEPH PL, SUITE 210, VANCOUVER, WA 98664-3299
(360) 254-6161
(360) 449-1139
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
997225
OR
225XH1200X
Hand Occupational Therapist
Primary
OT00002353
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098565005
BCBSO
OR
01
—
101860
WA L&I
WA
05
—
231755
—
OR
05
—
8419871
—
WA
Enumeration date
11/30/2005
Last updated
10/23/2009
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