Susan Detar in Milwaukie - Occupational Therapist
Susan Detar - NPI 1104918549
Susan Detar is a Occupational Therapist in Milwaukie, Oregon. Susan Detar practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Susan Detar is 1104918549. The last update date is 2007-07-08.
Susan Detar'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 Susan Detar is 4560 Se International Way, Milwaukie, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Detar |
|---|---|
| Address | 4560 Se International Way, Milwaukie, Oregon |
| Phone Number | 9712065140 |
| Fax Number | 9712065209 |
| Sole Proprietor | N |
| Credentials | OCCUPATION |
NPI Number Detail
| NPI Number | 1104918549 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| 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 | OT00001475 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Detar?
The Susan Detar has been issued the NPI (National Provider Identifier) 1104918549 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Susan Detar's facilities are situated?
The facilities of Susan Detar are physically located at the following address: 4560 Se International Way, Milwaukie, OR, 97222.
What is the area of specialization for Susan Detar, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Detar is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225X00000X.
On what date did the Susan Detar receive the assignment of its 1104918549 from the Centers for Medicare & Medicaid Services?
The Susan Detar was issued its 1104918549 by the Centers for Medicare & Medicaid Services on 2006-09-29.
As of what date were the Susan Detar's details last updated?
The information pertaining to the Susan Detar, including its address, specialty, and other details, was most recently updated on 2007-07-08.