Individual
KELLY GREATHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
8339 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97225-2215
(503) 245-5639
(503) 245-6013
Mailing address
4201 NE 66TH AVE, SUITE 106, VANCOUVER, WA 98661-3078
(360) 885-4684
(360) 882-8972
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
330982
OR
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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