Individual
SUZANNA BRAVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
OHSU CENTER FOR HEALTH AND HEALING REHABILITATION, 3303 SW BOND AVE, PORTLAND, OR 97239-3098
(503) 494-3151
(503) 418-9473
Mailing address
3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239-3098
(503) 494-3151
(503) 418-9473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1032223
OR
225XH1200X
Hand Occupational Therapist
1032223
OR
225XP0019X
Physical Rehabilitation Occupational Therapist
1032223
OR
225XP0200X
Pediatric Occupational Therapist
1032223
OR
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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