Organization
POWER TO THE PELVIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIYOKO WILLIAMS OTD (DR.)
(805) 801-1349
Entity
Organization
Contact information
Practice address
436 SE 12TH AVE, PORTLAND, OR 97214-1323
(503) 305-3088
Mailing address
436 SE 12TH AVE, PORTLAND, OR 97214-1323
(503) 305-3088
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23171
OCCUPATIONAL THERAPIST LICENSE
CA
01
—
367851
OCCUPATIONAL THERAPIST LICENSE
OR
Enumeration date
02/28/2022
Last updated
02/28/2022
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