Individual
MRS. DIANE FAYE HUCHENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
19815 SE RINEARSON DR, MILWAUKIE, OR 97267-6975
(503) 803-3960
Mailing address
19815 SE RINEARSON DR, MILWAUKIE, OR 97267-6975
(503) 803-3960
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
335239
OR
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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