Individual
DR. NICOLE VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTD
Contact information
Practice address
2727 SE ALDER ST, PORTLAND, OR 97214-3015
(503) 234-0175
Mailing address
2727 SE ALDER ST, PORTLAND, OR 97214-3015
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
341520
OR
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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