Organization
GROUNDPLAY THERAPY WORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA A KISTLER (OWNER)
(971) 888-5265
Entity
Organization
Contact information
Practice address
2029 NE CESAR E CHAVEZ BLVD, PORTLAND, OR 97212-5305
(971) 888-5265
(971) 888-5266
Mailing address
2029 NE CESAR E CHAVEZ BLVD, PORTLAND, OR 97212-5305
(971) 888-5265
(971) 888-5266
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1054642
OR
Other
Enumeration date
06/10/2013
Last updated
08/08/2025
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