Individual
NIKKI ADELE MACKINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
350 S 8TH ST, LEBANON, OR 97355-2242
(541) 259-1221
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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