Organization
INCLUSIVE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAILA HORAN (OCCUPATIONAL THERAPIST, OWNER)
(603) 494-9349
Entity
Organization
Contact information
Practice address
5005 NE ALBERTA CT, PORTLAND, OR 97218-2033
(603) 494-9349
Mailing address
5005 NE ALBERTA CT, PORTLAND, OR 97218-2033
(603) 494-9349
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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