Elise M Enger, MSOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

410524 Issued in OR

Practice address

16872 SW Edy Rd
Sherwood, OR 97140-8377

Phone

(503) 217-2345

NPI assigned

Oct 25, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1003383290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697",
            "telephone_number": "541-602-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16872 SW EDY RD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408377",
            "telephone_number": "503-217-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGER",
        "first_name": "ELISE",
        "middle_name": "M",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "410524",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "410524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynn Eddy, L.P.C.
• Julia S Ediger
• Jessica Eischen, DPT, ATC
• Melissa Ann Ellis, PA-C
• Firew Sisay Endale
• Avery J Esau, DMD
• Eye Impressions, LLC
• Christina Farias, PHARMD
• Joel N Fast, DMD
• Elisabetta Paderi Fernandez

• Occupational Therapist in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.