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Individual

SANDRA B RUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR, CHT

Contact information

Practice address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035-2556
(503) 850-9950
(866) 252-2247
Mailing address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035-2556
(503) 850-9950
(866) 252-2247

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
778
OR
225XH1200X
Hand Occupational Therapist
OT00003326
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098565020
BCBSO
OR
01
130665
WA L&I
WA
05
230522
OR
05
8419921
WA
Enumeration date
11/30/2005
Last updated
01/12/2023
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