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Individual

MICHELLE WHITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
610 HIGH ST, OREGON CITY, OR 97045-2241
(503) 657-8903
(503) 650-4302
Mailing address
610 HIGH ST, OREGON CITY, OR 97045-2241
(503) 657-8903
(503) 650-4302

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
271
NM
225X00000X
Occupational Therapist
Primary
558346
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500682447
OR
05
Z 999
NM
Enumeration date
03/14/2007
Last updated
03/06/2015
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