Individual
AMY BUCHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1425 N KILLINGSWORTH ST, PORTLAND, OR 97217-4541
(503) 575-9402
(844) 234-8735
Mailing address
1425 N KILLINGSWORTH ST, PORTLAND, OR 97217-4541
(503) 575-9402
(844) 234-8735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1042968
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500691261
—
OR
Enumeration date
08/27/2015
Last updated
07/19/2022
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