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Individual

MRS. JESSICA LEEANN SHARLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
610 HIGH STREET, OREGON CITY, OR 97045
(503) 657-8903
(503) 650-4302
Mailing address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1044123
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269926
OR
05
8430373
WA
Enumeration date
01/09/2007
Last updated
12/30/2021
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