Individual
DESTINY TAMA-MARIE KUEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5220 NE SACRAMENTO ST, PORTLAND, OR 97213-2666
(503) 729-7869
Mailing address
13206 SE RAYMOND ST, PORTLAND, OR 97236-3944
(503) 729-7869
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
440858
OR
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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