Individual
KAREN ELIZABETH NIETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3955 SE 182ND AVE, GRESHAM, OR 97030-5036
(503) 665-0183
Mailing address
3955 SE 182ND AVE, GRESHAM, OR 97030-5036
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
1029792
OR
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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