Andrea Jane Wall in Portland - Occupational Therapist

Andrea Jane Wall - NPI 1184731242

Andrea Jane Wall is a Occupational Therapist in Portland, Oregon. Andrea Jane Wall practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Andrea Jane Wall is 1184731242. The last update date is 2007-07-08.

Andrea Jane Wall's current location address is 2701 Nw Vaughn St, Portland, Oregon. You can contact this provider via phone number 5034995200 and fax number 5034995213. The mailing address for Andrea Jane Wall is 2701 Nw Vaughn St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea Jane Wall
Address 2701 Nw Vaughn St, Portland, Oregon
Phone Number 5034995200
Fax Number 5034995213
Sole Proprietor Y
Credentials OTR/L

NPI Number Detail

NPI Number 1184731242
Provider Enumeration Date 2006-08-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2701 Nw Vaughn St
City Portland
State Oregon (OR)
Post Code 972105311
Phone Number 5034995200
Fax Number 5034995213

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 234039
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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FAQs about Andrea Jane Wall

What is the unique provider identifier assigned to Andrea Jane Wall?

The Andrea Jane Wall has been issued the NPI (National Provider Identifier) 1184731242 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 address where Andrea Jane Wall is geographically located?

The Andrea Jane Wall is physically situated at the following location: 2701 Nw Vaughn St, Portland, OR, 972105311.

What is Andrea Jane Wall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Andrea Jane Wall is Occupational Therapist, and the corresponding taxonomy classification code for this specialized field is 225X00000X.

On what date was the 1184731242 assigned to Andrea Jane Wall?

The Andrea Jane Wall was issued its 1184731242 on 2006-08-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Andrea Jane Wall, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Andrea Jane Wall, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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