Individual
KATHERINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8507 NE 8TH WAY, VANCOUVER, WA 98664-1980
(360) 254-5335
Mailing address
4096 SE JEFFERSON ST, MILWAUKIE, OR 97222-5944
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
08/01/2017
Last updated
03/17/2018
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