| NPI | 1053754911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LEE FERGUSON Occupational Therapist Director 503-563-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 606012) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |