Individual
KEELY ANNE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Mailing address
15715 NW CENTRAL DR UNIT A406, PORTLAND, OR 97229-1286
(509) 572-8077
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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