Individual
AMY CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1815 SW MARLOW AVE, 110, PORTLAND, OR 97225
(503) 292-0765
Mailing address
1815 SW MARLOW AVE STE 110, PORTLAND, OR 97225-5186
(503) 292-0765
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2725
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2725
OREGON OCCUPATIONAL THERAPY BOARD
OR
Enumeration date
07/21/2017
Last updated
08/03/2017
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