KAYCIE LINN BLANSHAN

LEBANON, OR
NPI1962001172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224ZE0001X Occupational Therapy Assistant, Environmental Modification
(Licence: OR  348968)
Enumeration Date2020-10-19
Last Update Date2020-10-19
Business Address
KAYCIE LINN BLANSHAN COTA/L
350 S 8TH ST
LEBANON, OR 97355-2242
Phone number: 541-259-1221
Mailing Address
KAYCIE LINN BLANSHAN COTA/L
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: