Organization
LYMPHEDEMA SOLUTIONS NW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE L HOTZ OT (OWNER/PROVIDER)
(971) 255-3132
Entity
Organization
Contact information
Practice address
2077 NW TOWN CENTER DR, BEAVERTON, OR 97006-8938
(971) 255-3132
(971) 228-2777
Mailing address
2077 NW TOWN CENTER DR, BEAVERTON, OR 97006-8938
(971) 255-3132
(971) 228-2777
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
6264
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500672140
—
OR
Enumeration date
01/23/2015
Last updated
01/23/2015
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