Individual
DIANE LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 SW HUNZIKER ST, 203, TIGARD, OR 97223-8283
(503) 443-1019
(503) 443-1012
Mailing address
7320 SW HUNZIKER ST, 203, TIGARD, OR 97223-8283
(503) 443-1019
(503) 443-1012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1049170
OR
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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