Individual
JESSICA DYAN MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5701 SW MULTNOMAH BLVD, PORTLAND, OR 97219-3195
(503) 244-1107
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
306896
OR
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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