Individual
PETER VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
1481 NW 13TH AVE APT 112, PORTLAND, OR 97209-3405
(303) 618-0306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
533158
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
04/21/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us