Individual
WHITNEY SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11325 NE WEIDLER ST, PORTLAND, OR 97220-1950
(503) 253-1181
(503) 253-1871
Mailing address
11325 NE WEIDLER ST, PORTLAND, OR 97220-1950
(503) 253-1181
(503) 253-1871
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
308034
OR
224Z00000X
Occupational Therapy Assistant
OC60339148
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308034
CERTIFIED OCCUPATIONAL THERAPY ASSISTANT LICENSE
OR
Enumeration date
11/05/2013
Last updated
11/05/2013
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