Individual
STEPHANIE MARIE ROTHSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(503) 572-0904
Mailing address
13923 SW MISTLETOE DR, TIGARD, OR 97223-5661
(503) 572-0904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
427637
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93032735
KAISER
—
Enumeration date
01/30/2020
Last updated
01/30/2020
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