Naomi Katz, OTR

Individual provider Active NPI Occupational Therapist · Phoenix, OR

NPI 1326136409 · NPPES record last updated Apr 17, 2008

Key facts

NPI
1326136409
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
4705 (OR)
Practice address
158 Sharon Dr
Phoenix, OR 97535-5713
Phone
(541) 608-0464
Fax
(541) 535-5593
NPI assigned
Oct 11, 2006
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
4705ORMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4705 OR Yes

Addresses

Primary practice location

158 Sharon Dr
Phoenix, OR 97535-5713

Mailing address

PO Box 245
Phoenix, OR 97535-0245
Phone (541) 608-0464

Other identifiers

IdentifierTypeStateIssuer
158747MedicaidOR

Other providers in Phoenix, OR

All providers in Phoenix, OR · Occupational Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.