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Individual

DAVID A NUNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1335 NE 63RD AVE, PORTLAND, OR 97213-4905
(971) 219-3656
Mailing address
1335 NE 63RD AVE, PORTLAND, OR 97213-4905
(971) 219-3656

Taxonomy

Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
310983
OR
225XE1200X
Ergonomics Occupational Therapist
310983
OR
225XG0600X
Gerontology Occupational Therapist
310983
OR
225XH1200X
Hand Occupational Therapist
310983
OR
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
310983
OR

Other

Enumeration date
10/08/2012
Last updated
10/26/2015
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