Individual
SHAWNA AVRIL GUILFOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1729 SE LEXINGTON ST, PORTLAND, OR 97202-6150
(323) 568-6571
Mailing address
1729 SE LEXINGTON ST, PORTLAND, OR 97202-6150
(323) 568-6571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2432
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2432
OCCUPATIONAL THERAPY LICENSE
OR
05
—
278527
—
OR
Enumeration date
02/09/2009
Last updated
01/08/2019
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