Individual
KELLY BARMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
905 SE ANKENY ST, PORTLAND, OR 97214-1349
(505) 504-5775
Mailing address
905 SE ANKENY ST, PORTLAND, OR 97214-1349
(505) 504-5775
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
402545
OR
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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