Azita Narges Ahadi, MOT/ OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Clackamas, OR
NPI 1295580710 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1295580710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 1055803 (OR)
- Practice address
- 13455 SE 97TH Ave
Clackamas, OR 97015-8662 - Phone
- (503) 675-4000
- NPI assigned
- Apr 18, 2024
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1055803 | OR | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 1055803 | OR | Yes |
Addresses
Primary practice location
13455 SE 97TH Ave
Clackamas, OR 97015-8662
Mailing address
13455 SE 97TH Ave
Clackamas, OR 97015-8662
Phone (503) 675-4000
Other providers in Clackamas, OR
- Jacqueline Fernandez Adlawan
- Jeremy Eliezar Adler
- Timothy Mark Adrian
- Kamran Aghaie
- Alejandro Aguilar
- Usman Ahmad
- Janelle Ahmed
- Hyun Jung Ahn
- Thomas William Aichele
- Fitsum Abera Aklilu
All providers in Clackamas, OR · Pediatric Occupational Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.