Individual
ABIGAIL ELISE QUARTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
5243 NE 21ST AVE, PORTLAND, OR 97211-5644
(206) 375-0293
Mailing address
5243 NE 21ST AVE, PORTLAND, OR 97211-5644
(206) 375-0293
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
366307
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
366307
OREGON STATE LICENSURE
OR
01
—
OT60700455
WASHINGTON STATE LICENSURE
WA
Enumeration date
10/31/2021
Last updated
10/31/2021
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