Individual
MRS. MARCIA ANN IVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4062 ARLETA AVE NE, KEIZER, OR 97303-4758
(503) 390-0177
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
999789
OR
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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