Individual
MARIE TREVISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2833 SE 45TH AVE UNIT B, PORTLAND, OR 97206-1615
(208) 882-6736
Mailing address
2833 SE 45TH AVE UNIT B, PORTLAND, OR 97206-1615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
397332
OR
225XM0800X
Mental Health Occupational Therapist
397332
OR
Other
Enumeration date
08/24/2020
Last updated
11/19/2025
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