Organization
SENSORY KIDS, LLC
Active
Other names
Sensory KIDS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M PORTER MOT, OTR/L (OCCUPATIONAL THERAPIST)
(503) 575-9402
Entity
Organization
Contact information
Practice address
1425 N KILLINGSWORTH ST, PORTLAND, OR 97217
(503) 575-9402
Mailing address
1425 N KILLINGSWORTH ST, PORTLAND, OR 97217-4541
(503) 575-9402
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
995621
OR
Other
Enumeration date
06/23/2009
Last updated
10/03/2013
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