Individual
RYAN P WELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
2330 NW FLANDERS ST, G-1, PORTLAND, OR 97210-3442
(503) 224-9270
Mailing address
2330 NW FLANDERS ST, G-1, PORTLAND, OR 97210-3442
(503) 224-9270
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1059975
OR
Other
Enumeration date
03/20/2007
Last updated
08/13/2007
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