Individual
ELISABETH FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2121 NE 139TH ST, STE 200, VANCOUVER, WA 98686-2316
(360) 487-1777
(360) 487-1779
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
OT365774
OR
225XP0200X
Pediatric Occupational Therapist
Primary
OT60698486
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500720090
—
OR
Enumeration date
10/10/2016
Last updated
10/01/2019
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