Individual
ELENA MARIE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
551 LONE PINE BLVD, THE DALLES, OR 97058-9403
(541) 296-7202
Mailing address
79106 WOLF RUN RD, DUFUR, OR 97021-3113
(541) 993-9995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
311072
OR
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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