Individual
SUKANTA RICHARD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
1805 SE 61ST CT, HILLSBORO, OR 97123-2919
(503) 778-0354
Mailing address
1805 SE 61ST CT, HILLSBORO, OR 97123-2919
(503) 778-0354
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
523004
OR
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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