Individual
DAWN ALEXANDRA FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
815 NW 9TH ST, SUITE180, CORVALLIS, OR 97330-6173
(541) 768-5157
(541) 768-5080
Mailing address
815 NW 9TH ST, SUITE180, CORVALLIS, OR 97330-6173
(541) 768-5157
(541) 768-5080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1070217
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022621
—
OR
01
—
026648000
BCBS ID#
OR
01
—
930838454
TAX ID#
OR
01
—
A004
TRIWEST
OR
01
—
B060408
PACIFICSOURCE
OR
Enumeration date
06/05/2006
Last updated
01/23/2017
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