Individual
MS. MARYALICE NMI BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, P3PMRS, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 721-7837
Mailing address
3710 SW US VETERANS HOSPITAL RD, PO BOX 1034, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 721-7837
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
546085
OR
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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