Individual
MICHELLE P PAVELEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2478 13TH ST SE, SALEM, OR 97302
(503) 779-1020
Mailing address
2825 COLORADO DR NW, SALEM, OR 97304-1666
(503) 508-5518
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4809
OR
225XP0200X
Pediatric Occupational Therapist
4809
OR
Other
Enumeration date
07/20/2018
Last updated
07/25/2018
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