Individual
LISA KAY MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3009
(503) 221-3429
(503) 294-3240
Mailing address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3009
(503) 221-3429
(503) 294-3240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1350
AK
225X00000X
Occupational Therapist
Primary
414367
OR
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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