Individual
JENNIFER THEUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T.
Contact information
Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(503) 228-4533
(503) 228-4618
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
(503) 241-7419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
275013
OR
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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