MARS VINE-HARDING DE PONTE

PORTLAND, OR
NPI1770797169
Other NameMARS VINE-HARDING DE PONTE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  1035920)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: WA  OT 00003150)
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: OR  1035920)
Enumeration Date2007-05-09
Last Update Date2018-09-17
Business Address
MARS VINE-HARDING DE PONTE Occupational Therapi
1007 SE 12TH AVE
PORTLAND, OR 97214-2512
Phone number: 206-240-5956
Mailing Address
MARS VINE-HARDING DE PONTE Occupational Therapi
1007 SE 12TH AVE
PORTLAND, OR 97214-2512
Phone number: 206-240-5956