Individual
GINA MARIE DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 101, PORTLAND, OR 97222-4628
(971) 206-5202
(971) 206-5203
Mailing address
7214 SE 21ST AVE, PORTLAND, OR 97202-5848
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
989905
OR
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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