MARY GRACE MADISON

PORTLAND, OR
NPI1346773124
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  1001320)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MO  2005040669)
Enumeration Date2017-04-07
Last Update Date2024-11-05
Business Address
MARY GRACE MADISON OTR
4131 SE GRANT ST
PORTLAND, OR 97214-5936
Phone number: 816-896-9386
Mailing Address
MARY GRACE MADISON OTR
4131 SE GRANT ST
PORTLAND, OR 97214-5936
Phone number: 816-896-9386