Individual
LAURIE ANN SPELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, PORTLAND, OR 97222-4628
(541) 221-8343
Mailing address
4560 SE INTERNATIONAL WAY STE 100, PORTLAND, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
987162
OR
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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