Organization
RISEWELL FOUNDATION
Active
Organization
RISEWELL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DR. COURTNEY MCINTYRE OTD, OTR/L (PRESIDENT)
(360) 606-4300
Entity
Organization
Contact information
Practice address
1613 NE 259TH ST, RIDGEFIELD, WA 98642-8787
(360) 606-4300
Mailing address
2940 NW JULIA ST, CAMAS, WA 98607-7544
(360) 606-4300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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