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Individual

EMILY NICOLE D'AGOSTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTD, OTR/L

Contact information

Practice address
4900 SW GRIFFITH DRIVE, SUITE 157, BEAVERTON, OR 97005
(503) 517-8555
(503) 517-8556
Mailing address
4900 SW GRIFFITH DR., SUITE 157, BEAVERTON, OR 97005
(503) 517-8555
(503) 517-8556

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
18589
CA
225X00000X
Occupational Therapist
Primary
397299
OR

Other

Enumeration date
03/26/2020
Last updated
07/13/2022
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