National Provider Identifier
Pediatric Occupational Therapy Solutions, LLC
Pediatric Occupational Therapy Solutions, LLC is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Portland, OR and a listed phone number of (503) 997-1309.
Source: public NPPES record, last updated April 23, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1841854163
- Provider Type
- Organization
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- April 23, 2019
- Last Updated
- April 23, 2019
Practice Location
- 5220 Ne Sacramento St
- Portland, OR 97213-2666
Phone: (503) 997-1309
Mailing Address
- 4548 Ne Holman St
- Portland, OR 97218-1349
Authorized Official
- Name
- Diedra Marie Pine
- Title
- Occupational Therapist/Owner
- Credentials
- OTL
- Phone
- (503) 997-1309
Specialties
- Pediatric Occupational Therapist (225XP0200X)
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Full Record
- NPI
- 1841854163
- Entity Type
- Organization
- Organization Name
- Pediatric Occupational Therapy Solutions, LLC
- Mailing Street Address
- 4548 Ne Holman St
- Mailing City
- Portland
- Mailing State
- OR
- Mailing ZIP Code
- 97218-1349
- Mailing Country
- US
- Mailing Phone
- (503) 997-1309
- Mailing Fax
- (971) 888-5266
- Practice Street Address
- 5220 Ne Sacramento St
- Practice City
- Portland
- Practice State
- OR
- Practice ZIP Code
- 97213-2666
- Practice Country
- US
- Practice Phone
- (503) 997-1309
- Practice Fax
- (971) 888-5266
- Enumeration Date
- April 23, 2019
- Last Updated
- April 23, 2019
- Authorized Official Last Name
- Pine
- Authorized Official First Name
- Diedra
- Authorized Official Middle Name
- Marie
- Authorized Official Title
- Occupational Therapist/Owner
- Authorized Official Phone
- (503) 997-1309
- Organization Subpart
- No
- Authorized Official Credential Text
- OTL
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)
- Other Identifiers
- 500189782 (OR)