Individual
MS. MICHELLE BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2204 26TH AVE, FOREST GROVE, OR 97116-1518
(502) 924-9012
Mailing address
2204 26TH AVE, FOREST GROVE, OR 97116-1518
(503) 924-9012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
377137
OR
225XP0200X
Pediatric Occupational Therapist
377137
OR
Other
Enumeration date
10/07/2008
Last updated
06/13/2023
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