NICOLE RENEE WANDELL

PORTLAND, OR
NPI1326384546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  296700)
Enumeration Date2012-12-15
Last Update Date2012-12-15
Business Address
-- NICOLE RENEE WANDELL
4805 NE GLISAN ST OCCUPATIONAL THERAPY
PORTLAND, OR 97213-2933
Phone number: 150-321-5650
Mailing Address
-- NICOLE RENEE WANDELL
PO BOX 19811
PORTLAND, OR 97280-0811
Phone number: