Individual
MRS. GWYNNA NONE POUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-9813
(503) 215-9810
Mailing address
5950 SE 141ST AVE, PORTLAND, OR 97236-4452
(503) 516-3913
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0C00000678
WA
224Z00000X
Occupational Therapy Assistant
Primary
984139
OR
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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