Individual
JILL RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3432 SE 16TH AVE APT A, PORTLAND, OR 97202-2860
(919) 943-3210
Mailing address
3432 SE 16TH AVE APT A, PORTLAND, OR 97202-2860
(919) 943-3210
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
277945
OR
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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