| NPI | 1063908382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MOE Occupational Therapist 503-803-3375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA 60772125) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |