Individual
ERICA JOHANNA LIEPELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
5331 SW MACADAM AVE, SUITE 277, PORTLAND, OR 97239-6104
(503) 229-8300
Mailing address
PO BOX 82564, PORTLAND, OR 97282-0564
(503) 229-8300
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
969795
OR
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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