Individual
ELLEN MEKJAVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4138 SE CLINTON ST, PORTLAND, OR 97202-1639
(503) 539-0460
Mailing address
4138 SE CLINTON ST, PORTLAND, OR 97202-1639
(503) 539-0460
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
327732
OR
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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