Individual
JENNIFER K SAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., O.T.R.
Contact information
Practice address
12705 SE RIVER RD, PORTLAND, OR 97222-9799
(503) 652-6674
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
469
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000253567
TRICARE
HI
01
—
204196700
OWCP
HI
01
—
530748
HMA
HI
01
—
56906400
ALOHA CARE
HI
05
—
56906401
—
HI
01
—
99-0332020
UNIVERSITY HEALTH ALLIANC
HI
Enumeration date
08/31/2006
Last updated
07/10/2013
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