Individual
MISS EVA K MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, ATP
Contact information
Practice address
1616 SW HARBOR WAY, #305, PORTLAND, OR 97201-5150
(503) 477-6442
(503) 477-6442
Mailing address
1616 SW HARBOR WAY, #305, PORTLAND, OR 97201-5150
(503) 477-6442
(503) 477-6442
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4647026
WI
Other
Enumeration date
01/11/2007
Last updated
04/12/2011
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