Individual
MICHELLE DE OLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
367023
OR
225XM0800X
Mental Health Occupational Therapist
Primary
367023
OR
Other
Enumeration date
08/19/2015
Last updated
03/17/2018
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