Individual
DIANE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED OCCUPATION
Contact information
Practice address
4560 SE INTERNATIONAL WAY, CONSONUS REHAB SERVICES, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2155462
CA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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