Individual
SUSAN ELIZABETH CULBERTSON-HOLMES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1315 NW 4TH ST, SUITE B, REDMOND, OR 97756-1328
(541) 923-7494
Mailing address
11481 SW HALL BLVD, SUITE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
983735
OR
225X00000X
Occupational Therapist
OT00002842
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298881
—
OR
Enumeration date
12/01/2005
Last updated
07/08/2007
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