Organization
WILLAMETTE HAND THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH M AHEARN OT, CHT (OWNER)
(541) 485-9907
Entity
Organization
Contact information
Practice address
1711 WILLAMETTE ST, SUITE 302, EUGENE, OR 97401-4014
(541) 357-4536
(541) 653-9669
Mailing address
PO BOX 50056, EUGENE, OR 97405-0967
(541) 688-9595
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
988571
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT9264
RAIL ROAD MEDICARE
OR
Enumeration date
04/07/2010
Last updated
03/19/2014
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