Individual
JAYDA XAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3540 SE FRANCIS ST, PORTLAND, OR 97202-3350
(503) 232-5767
Mailing address
629 SE 34TH AVE, PORTLAND, OR 97214-3111
(785) 806-4730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
443454
OR
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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