Organization
ADVANCED PEDIATRIC THERAPIES
Active
Parent organization
ADVANCED PEDIATRIC THERAPIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED PEDIATRIC THERAPIES
Authorized official
SHARRON DONNELLY (OCCUPATIONAL THERAPIST)
(971) 207-6550
Entity
Organization
Contact information
Practice address
4444 SW MULTNOMAH BLVD, PORTLAND, OR 97219-3558
(503) 245-5629
Mailing address
4444 SW MULTNOMAH BLVD, PORTLAND, OR 97219-3558
(503) 245-5629
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1021785
OR
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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