Individual
DR. DAKOTA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
12765 NW LOVEJOY ST, PORTLAND, OR 97229-4644
(503) 548-8063
Mailing address
12765 NW LOVEJOY ST, PORTLAND, OR 97229-4644
(503) 548-8063
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
443131
OR
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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