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Individual

TAMI C. BUSWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
5119 NE 57TH AVE, PORTLAND, OR 97218-2584
(503) 215-8057
Mailing address
4531 SE BELMONT ST, STE 100, PORTLAND, OR 97215-1675
(503) 215-8057

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
297958
OR

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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