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Individual

MRS. PATRICIA CELIA LETTENMAIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
420 NE MASON ST, PORTLAND, OR 97211-3479
(503) 546-9554
Mailing address
4531 SE BELMONT ST, SUITE 100, PORTLAND, OR 97215-1675
(503) 215-6556

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1018596
OR

Other

Enumeration date
06/10/2016
Last updated
06/10/2016
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