Unknown Individual – Occupational Therapist, NPI 1992788640
Occupational Therapist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Gresham Package Store, 2485, Gresham Road Southeast, Atlanta, DeKalb County, Georgia, 30316, United States
GRESHAM, OR 970300660
Phone: (503) 674-7860
Fax: (503) 674-7642
Type: Mailing
East Side Athletic Club, 9100, Southeast Sunnyside Road, Harmony, Sunnyside, Clackamas County, Oregon, 97015, United States
CLACKAMAS, OR 970156772
Phone: (503) 794-0103
Fax: (503) 794-0104
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | TX | |
| Emergency Medicine | OR | |
| D E R M A T O L O G Y | AZ | |
| Nurse Practitioner | OR | |
| Diagnostic Radiology | OR | |
| D E R M A T O L O G Y | WA | |
| - | OR | |
| - | CA | |
| General Surgery | CA | |
| - | OR |
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