Individual
JAIME RACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 HIGH ST, OREGON CITY, OR 97045-2241
(503) 657-8903
(503) 650-4302
Mailing address
21695 S MCBURNEY RD, BEAVERCREEK, OR 97004-7657
(503) 632-3133
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1066750
OR
225XP0200X
Pediatric Occupational Therapist
OT0003868
WA
Other
Enumeration date
11/24/2006
Last updated
09/12/2007
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