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Individual

JENNA NOONAN GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225-5104
(503) 802-5263
Mailing address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225-5104
(914) 715-7299

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
298028
OR

Other

Enumeration date
09/06/2012
Last updated
11/27/2013
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