Melba Adamson, OTR L

Individual provider Active NPI Occupational Therapist · Vancouver, WA

NPI 1235206707 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1235206707
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT00003284 (WA)
Practice address
10401 NE Fourth Plain Rd
Suite 101
Vancouver, WA 98662-6308
Phone
(360) 892-5142
Fax
(360) 892-2157
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT00003284WAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00003284 WA Yes

Addresses

Primary practice location

10401 NE Fourth Plain Rd
Suite 101
Vancouver, WA 98662-6308

Mailing address

2219 Saint Moritz Loop
West Linn, OR 97068-8630

Other providers in Vancouver, WA

All providers in Vancouver, WA · Occupational Therapist in Washington

Sources for this page

Verify at the official NPI Registry.