Individual
ASHLEY HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3300 19TH AVE, FOREST GROVE, OR 97116-1910
(503) 357-7119
Mailing address
2547 WILLIAMS ST, FOREST GROVE, OR 97116-3078
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
452245
OR
Other
Enumeration date
04/22/2021
Last updated
07/31/2023
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