Individual
LISA SNISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
3917 NW LEWIS LN, PORTLAND, OR 97229-8094
(503) 332-1328
Mailing address
3917 NW LEWIS LN, PORTLAND, OR 97229-8094
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103227
OR
Other
Enumeration date
12/15/2012
Last updated
12/22/2021
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