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Individual

AUSTEN LINCOLN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2870 NW CORNELL RD, PORTLAND, OR 97210-2421
(503) 720-4634
(844) 250-7399
Mailing address
2870 NW CORNELL RD, PORTLAND, OR 97210-2421
(503) 720-4634

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
13722
NC
225XP0200X
Pediatric Occupational Therapist
Primary
288785
OR
225XP0200X
Pediatric Occupational Therapist
60563617
WA

Other

Enumeration date
07/01/2014
Last updated
11/14/2024
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