Individual
MS. RACHAEL ALANA BUBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 224-2040
Mailing address
17360 HOLY NAMES DR, LAKE OSWEGO, OR 97034-5133
(503) 675-2004
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
323372
OR
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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