Kelli M Wong in Milwaukie - Occupational Therapist
Kelli M Wong - NPI 1023167764
Kelli M Wong is a Occupational Therapist in Milwaukie, Oregon. Kelli M Wong practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Kelli M Wong is 1023167764. The last update date is 2007-07-08.
Kelli M Wong's current location address is 4560 Se International Way, Milwaukie, Oregon. You can contact this provider via phone number 9712065140 and fax number 9712065209. The mailing address for Kelli M Wong is 4560 Se International Way, Milwaukie, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli M Wong |
|---|---|
| Address | 4560 Se International Way, Milwaukie, Oregon |
| Phone Number | 9712065140 |
| Fax Number | 9712065209 |
| Sole Proprietor | N |
| Credentials | OCCUPATION |
NPI Number Detail
| NPI Number | 1023167764 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4560 Se International Way |
|---|---|
| City | Milwaukie |
| State | Oregon (OR) |
| Post Code | 97222 |
| Phone Number | 9712065140 |
| Fax Number | 9712065209 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 72299 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique 10-digit identifier code issued to Kelli M Wong by the Centers for Medicare & Medicaid Services?
The Kelli M Wong has been assigned the NPI (National Provider Identifier) 1023167764 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kelli M Wong is geographically located?
The Kelli M Wong is physically situated at the following location: 4560 Se International Way, Milwaukie, OR, 97222.
What is Kelli M Wong's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelli M Wong's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
On what date was the 1023167764 assigned to Kelli M Wong?
The Kelli M Wong was issued its 1023167764 on 2007-01-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kelli M Wong last refreshed?
The information related to the Kelli M Wong, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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