Individual
ILANA G REINHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
12441 SE STARK ST, PORTLAND, OR 97233-1053
(503) 255-7040
Mailing address
12441 SE STARK ST, PORTLAND, OR 97233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
354855
OR
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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