Autumn Jessica Carroll in Portland - Occupational Therapist
Autumn Jessica Carroll - NPI 1871691014
Autumn Jessica Carroll is a Occupational Therapist in Portland, Oregon. Autumn Jessica Carroll practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Autumn Jessica Carroll is 1871691014. The last update date is 2010-07-15.
Autumn Jessica Carroll's current location address is 2701 Nw Vaughn St, Portland, Oregon. You can contact this provider via phone number 5037216800. The mailing address for Autumn Jessica Carroll is 2701 Nw Vaughn St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Autumn Jessica Carroll |
|---|---|
| Address | 2701 Nw Vaughn St, Portland, Oregon |
| Phone Number | 5037216800 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1871691014 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2010-07-15 |
Provider Mailing Address Detail
| Address | 2701 Nw Vaughn St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972105311 |
| Phone Number | 5037216800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 1034600 |
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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 assigned to Autumn Jessica Carroll by the Centers for Medicare & Medicaid Services?
The Autumn Jessica Carroll has been issued the NPI (National Provider Identifier) 1871691014 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Autumn Jessica Carroll located?
The Autumn Jessica Carroll is located at 2701 Nw Vaughn St, Portland, OR 972105311.
What is Autumn Jessica Carroll's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Autumn Jessica Carroll is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.
On what date did the Autumn Jessica Carroll receive the assignment of its 1871691014 from the Centers for Medicare & Medicaid Services?
The Autumn Jessica Carroll was issued its 1871691014 by the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date were the Autumn Jessica Carroll's details last updated?
The information pertaining to the Autumn Jessica Carroll, including its address, specialty, and other details, was most recently updated on 2010-07-15.