Individual
SUZANNA LYNNE HAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
5701 SW MULTNOMAH BLVD, PORTLAND, OR 97219-3195
(888) 873-4221
Mailing address
11595 SW CENTER ST, APT. 3, BEAVERTON, OR 97005-2264
(503) 840-9457
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
232275
OR
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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