Individual
MARLEY CARLA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
830 NE 47TH AVE, PORTLAND, OR 97213-2212
(503) 215-2233
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
430266
OR
225X00000X
Occupational Therapist
61019237
WA
Other
Enumeration date
12/27/2019
Last updated
04/21/2023
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