Individual
MS. LYSSE E WARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T.R/L
Contact information
Practice address
13505 SE RIVER RD, PORTLAND, OR 97222-8038
(503) 652-4011
Mailing address
920 SE 31ST AVE, PORTLAND, OR 97214-4067
(503) 703-6445
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
221844
OR
Other
Enumeration date
06/11/2008
Last updated
04/18/2012
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