Organization
OUR SPOT FOR KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANDY BOWDOIN OTD (OWNER/OCCUPATIONAL THERAPIST)
(321) 412-5018
Entity
Organization
Contact information
Practice address
2411 19TH AVE, FOREST GROVE, OR 97116-2895
(321) 412-5018
Mailing address
2411 19TH AVE, FOREST GROVE, OR 97116-2895
(321) 412-5018
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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