Individual
MELISSA PENINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
(503) 666-2444
Mailing address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
(503) 666-2444
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
408352
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
408352
LICENSE
OR
Enumeration date
12/19/2018
Last updated
11/14/2022
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