Individual
BONNIE LYNN SLAUTERBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6158 SW ZABACO TER, BEAVERTON, OR 97078-5562
(503) 758-6384
Mailing address
6158 SW ZABACO TER, BEAVERTON, OR 97078-5562
(503) 758-6384
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
287363
OR
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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