Individual
JIM ILG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L, CDRS
Contact information
Practice address
11759 NUSOM RD NE APT SUITE, SILVERTON, OR 97381-9616
(503) 302-4919
(503) 776-7420
Mailing address
11759 NUSOM RD NE APT SUITE, SILVERTON, OR 97381-9616
(503) 302-4919
(503) 776-7420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1001478
OR
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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