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Individual

VALERIE K BENNETT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR, CHT

Contact information

Practice address
2330 NW FLANDERS ST, STE G-1, PORTLAND, OR 97210-3442
(503) 224-9270
(503) 224-9271
Mailing address
2330 NW FLANDERS ST, STE G-1, PORTLAND, OR 97210-3442
(503) 224-9270
(503) 224-9271

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
362830
OR
225XH1200X
Hand Occupational Therapist
OT00002679
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0048883
WA L&I
WA
05
230526
OR
05
8419889
WA
Enumeration date
11/28/2005
Last updated
07/09/2007
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