Individual
KELLY A NESBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CAPS, ECHM
Contact information
Practice address
8564 N RICHMOND AVE, PORTLAND, OR 97203
(503) 673-6299
Mailing address
8564 N RICHMOND AVE, PORTLAND, OR 97203
(503) 673-6299
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
1036721
OR
225XG0600X
Gerontology Occupational Therapist
Primary
OT1284
ME
Other
Enumeration date
11/06/2009
Last updated
01/13/2026
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