LARA LEVINE

PORTLAND, OR
NPI1346315439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  214262)
Additional Taxonomies225XP0200X Occupational Therapist, Pediatrics
(Licence: WA  OT00004300)
Enumeration Date2006-11-22
Last Update Date2007-07-08
Business Address
Mrs. LARA LEVINE OTR L
3181 SE SAM JACKSON ROAD
PORTLAND, OR 97239
Phone number: 503-494-9171
Mailing Address
Mrs. LARA LEVINE OTR L
2217 SE CLINTON ST
PORTLAND, OR 97202-1232
Phone number: 503-752-3404