Individual
GINGER ELIZABETH EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
3030 NE 31ST AVE, PORTLAND, OR 97212-3658
(503) 449-3656
Mailing address
3030 NE 31ST AVE, PORTLAND, OR 97212-3658
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
234790
OR
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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