Active NPI
Enffie Chen, OTR/L
- Occupational Therapist
- Lebanon, OR
National Provider Identifier
1376880773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12790
- Practice address
- 350 S 8TH St
Lebanon, OR 97355-2242 - Phone
- (541) 259-1221
- NPI assigned
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 296963 | OR | |
| Occupational Therapist | 225X00000X | 12790 | CA | Primary |
| Occupational Therapist | 225X00000X | 60314874 | WA |
Addresses
Primary practice location
350 S 8TH St
Lebanon, OR 97355-2242
Mailing address
6140 E Santa Ana Canyon Rd
Anaheim, CA 92807-2302
Phone (714) 271-9749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12790 | CA | MD | Occupational Therapist |
| 296963 | OR | MD | Occupational Therapist |
| 60314874 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1376880773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 E SANTA ANA CANYON RD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072302",
"telephone_number": "714-271-9749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S 8TH ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "973552242",
"telephone_number": "541-259-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ENFFIE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "296963",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12790",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "60314874",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.