Individual
LILA ALLSTOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 SW 37TH ST, PENDLETON, OR 97801-3605
(541) 276-3374
Mailing address
707 SW 37TH ST, PENDLETON, OR 97801-3605
(541) 276-3374
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
319707
OR
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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