Individual
TIMOTHY JOHN RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1815 SW MARLOW AVE, STE 110, PORTLAND, OR 97225-5185
(503) 292-0765
(503) 292-5208
Mailing address
1815 SW MARLOW AVE, STE 110, PORTLAND, OR 97225-5185
(503) 292-0765
(503) 292-5208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
254954
OR
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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