Joyce Wangsgard Brown, OTR

Individual provider Active NPI Occupational Therapist · Wilsonville, OR

NPI 1154581163 · NPPES record last updated Jun 12, 2008

Key facts

NPI
1154581163
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
336966 (OR)
Practice address
25117 SW Parkway Ave
Ste D
Wilsonville, OR 97070-9697
Phone
(503) 538-1768
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
336966ORMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 336966 OR Yes

Addresses

Primary practice location

25117 SW Parkway Ave
Ste D
Wilsonville, OR 97070-9697

Mailing address

12632 SW Canvasback Way
Beaverton, OR 97007-7319

Other providers in Wilsonville, OR

All providers in Wilsonville, OR · Occupational Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.