Individual
MS. PAULETTE A WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
9750 NE GLISAN ST, PORTLAND, OR 97220-4449
(503) 256-3920
Mailing address
9750 NE GLISAN ST, PORTLAND, OR 97220-4449
(503) 256-3920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1077329
OR
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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