Individual
HAYDEN RESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD OTR/L
Contact information
Practice address
17601 S DICK DR, OREGON CITY, OR 97045-9207
(503) 593-8654
Mailing address
17601 S DICK DR, OREGON CITY, OR 97045-9207
(503) 593-8654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
445157
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
445157
STATE OF OREGON
OR
Enumeration date
12/03/2020
Last updated
12/03/2020
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