Individual
ARIELLE UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6125 SW BOUNDARY ST, PORTLAND, OR 97221-1019
(503) 535-4300
Mailing address
4327 SE MASON LN, PORTLAND, OR 97222-5054
(830) 377-1600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
394782
OR
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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