Individual
GRACIE MUKAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 HIGH ST, OREGON CITY, OR 97045-2241
(503) 657-8903
Mailing address
610 HIGH ST, OREGON CITY, OR 97045-2241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
329114
OR
225X00000X
Occupational Therapist
OT60498956
WA
225XG0600X
Gerontology Occupational Therapist
329114
OR
Other
Enumeration date
02/09/2015
Last updated
01/18/2016
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