Individual
ELIZABETH DIANE LEVAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7320 SW HUNZIKER, SUITE 203, TIGARD, OR 97223
(888) 317-1019
Mailing address
7985 SW 67TH AVE, PORTLAND, OR 97223-9411
(509) 863-2036
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
305680
OR
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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