Individual
JENELLE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
2683 SPRING LN, SUTHERLIN, OR 97479-9103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
333415
OR
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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