Individual
REGINA VALAINIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 16TH ST, LA GRANDE, OR 97850-3495
(541) 963-5963
Mailing address
412 16TH ST, LA GRANDE, OR 97850-3495
(541) 963-5963
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
536052
OR
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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