Individual
MICHAELA A KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2029 NE CESAR E CHAVEZ BLVD, PORTLAND, OR 97212-5305
(503) 869-8545
Mailing address
2029 NE CESAR E CHAVEZ BLVD, PORTLAND, OR 97212-5305
(503) 869-8545
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
01054648
OR
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
08/08/2025
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