Individual
ANGELA MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1880 LANCASTER DR NE STE 116, SALEM, OR 97305-3956
(503) 662-2091
Mailing address
1880 LANCASTER DR NE STE 116, SALEM, OR 97305-3956
(503) 662-2091
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
446605
OR
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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