Individual
AMY KAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
511 SW 10TH AVE, SUITE 101, PORTLAND, OR 97205-2732
(503) 294-7463
Mailing address
511 SW 10TH AVE, SUITE 101, PORTLAND, OR 97205-2732
(503) 294-7463
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1045063
OR
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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