Individual
AMY HIETPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6530 SW 30TH AVE, PORTLAND, OR 97239-1007
(503) 595-8237
Mailing address
6530 SW 30TH AVE, PORTLAND, OR 97239-1007
(503) 595-8237
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1034106
OR
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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