AUTUMN JESSICA CARROLL

PORTLAND, OR
NPI1871691014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  1034600)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: WA  OT00004159)
Enumeration Date2006-09-20
Last Update Date2010-07-15
Business Address
Mrs. AUTUMN JESSICA CARROLL OTR/L
2701 NW VAUGHN ST
PORTLAND, OR 97210-5311
Phone number: 503-721-6800
Mailing Address
Mrs. AUTUMN JESSICA CARROLL OTR/L
2114 N SUMNER ST
PORTLAND, OR 97217-3831
Phone number: