Individual
KENDRA HANNAH REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/R
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Mailing address
9790 SW PAWNEE PATH, TUALATIN, OR 97062-8456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1076952
OR
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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