Individual
DEBORAH ANITA ANGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225-5104
(503) 228-6479
(503) 228-4248
Mailing address
11795 SW TUALATIN RD APT 45, TUALATIN, OR 97062-7096
(503) 320-7866
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
539692
OR
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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