Individual
ANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, MHA
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 364-0611
(971) 364-0610
Mailing address
25195 SW PARKWAY AVE, STE 205, WILSONVILLE, OR 97070-9689
(971) 364-0611
(971) 364-0610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4319953
OR
Other
Enumeration date
08/17/2021
Last updated
08/19/2021
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