Individual
NOELANI ALICIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5701 SW MULTNOMAH BLVD, PORTLAND, OR 97219-3195
(503) 977-1796
Mailing address
7520 SW HEATHER CT, PORTLAND, OR 97223-7484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1045084
OR
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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