Individual
KRISTA MARIE DARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1475, SE 100TH AVENUE, PORTLAND, OR 97216
(503) 262-6000
Mailing address
5255, SW 150TH COURT, BEAVERTON, OR 97007
(503) 791-4556
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
337814
OR
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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