Individual
JOELLE JORDAN FIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
16485 SW PACIFIC HWY, TIGARD, OR 97224-3446
(503) 570-3665
Mailing address
21159 NW GALICE LN APT 305, PORTLAND, OR 97229-7175
(541) 409-1435
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
456697
OR
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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