Individual
TINA MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 156TH AVE NE, BELLEVUE, WA 98007-3814
(425) 897-8800
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60515218
WA
Other
Enumeration date
10/27/2014
Last updated
10/28/2014
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