Individual
FAITH FENNIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S HAZEL DELL WAY STE 210, CANBY, OR 97013-7828
(503) 263-9550
Mailing address
PO BOX 40, SILVERTON, OR 97381-0040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
978483
OR
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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