Individual
LUKE DEPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4640 S MACADAM AVE STE 90, PORTLAND, OR 97239-4285
(503) 292-0765
Mailing address
715 SE 33RD PL, PORTLAND, OR 97214-3184
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
384046
OR
Other
Enumeration date
03/06/2017
Last updated
04/09/2025
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