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Community Pediatric Therapy LLC

Organization Active NPI Pediatric Occupational Therapist · Damascus, OR

NPI 1194592907 · NPPES record last updated Dec 11, 2023

Key facts

NPI
1194592907
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
Legal business name
COMMUNITY PEDIATRIC THERAPY LLC
Practice address
16081 SE Eider CT
Damascus, OR 97089-6809
Phone
(503) 298-6706
Fax
(503) 272-9393
NPI assigned
Dec 11, 2023
Organization subpart
No

Authorized official

Name
Mrs. Juliette R Pierce, MOT, OTR/L NPI 1891280749
Title
Owner
Phone
(503) 298-6706

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1610 SE Glenwood St
Portland, OR 97202
Phone (503) 230-1744

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP		 225XP0200X Yes

Addresses

Primary practice location

16081 SE Eider CT
Damascus, OR 97089-6809

Mailing address

16081 SE Eider CT
Damascus, OR 97089-6809
Phone (503) 298-6706

Other names

  • Community Pediatric Therapy LLC Doing business as

Other providers in Damascus, OR

All providers in Damascus, OR · Pediatric Occupational Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.