Individual
JACQUELINE LEE UNDERHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 OAK ST STE 200, HOOD RIVER, OR 97031-2062
(541) 386-0009
Mailing address
6275 WRENTHAM MARKET RD, THE DALLES, OR 97058-9629
(541) 993-2555
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2739
OR
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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