Individual
AMY WILLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
22018 S CENTRAL POINT RD, CANBY, OR 97013-8705
(503) 221-4531
Mailing address
75 C ST APT 207, INDEPENDENCE, OR 97351-2063
(240) 522-7762
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08408
MD
225X00000X
Occupational Therapist
Primary
397472
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08408
MARYLAND BOARD OF OCCUPATIONAL THERAPY PRACTICE
MD
Enumeration date
04/03/2018
Last updated
05/14/2026
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