Individual
COREY JOE MCCHESNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L, OTD
Contact information
Practice address
2217 COUNTRY CLUB RD, WOODBURN, OR 97071-2811
(503) 982-4200
(503) 981-2323
Mailing address
PO BOX 965, WILSONVILLE, OR 97070-0965
(503) 318-3927
(503) 981-2323
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
423141
OR
225XH1200X
Hand Occupational Therapist
Primary
423141
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
423141
STATE LICENSE
OR
05
—
500766629
—
OR
Enumeration date
07/05/2019
Last updated
10/30/2021
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