Individual
DENISE DORGAN-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A./L.
Contact information
Practice address
PROVIDENCE ELDER PLACE, 4400 NE HALSEY SUITE 200, PORTLAND, OR 97213
(503) 215-6556
Mailing address
PROVIDENCE ELDER PLACE, 4400 NE HALSEY SUITE 200, PORTLAND, OR 97213
(503) 215-6556
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1054170
OR
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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