Individual
MARY HEATHER ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
13033 SE HOLGATE BLVD, PORTLAND, OR 97236-3913
(503) 761-1533
Mailing address
13033 SE HOLGATE BLVD, PORTLAND, OR 97236-3913
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006198
VA
225X00000X
Occupational Therapist
Primary
323311
OR
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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