Individual
ALYSSA LIZARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3883 S MOODY AVE APT 333, PORTLAND, OR 97239-1551
(408) 772-5864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
464539
OR
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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