TANNER SCOTT STEVENS

BEAVERTON, OR
NPI1336853399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OR  477927)
Enumeration Date2023-01-12
Last Update Date2023-01-12
Business Address
TANNER SCOTT STEVENS COTA
14420 SW FARMINGTON RD
BEAVERTON, OR 97005-2504
Phone number: 503-610-5157
Mailing Address
TANNER SCOTT STEVENS COTA
800 NW 118TH AVE APT 102
PORTLAND, OR 97229-5970
Phone number: 541-588-0219