Individual
MRS. LISA ANN WADDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3959 SHERIDAN AVE, BAY CREST VILLAGE, NORTH BEND, OR 97459
(541) 756-4151
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(971) 206-5129
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1005250
OR
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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