Rachael Alana Bubeck, COTA
Individual provider Active NPI Occupational Therapy Assistant · Wilsonville, OR
NPI 1689094500 · NPPES record last updated Apr 17, 2014
Key facts
- NPI
- 1689094500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 323372 (OR)
- Practice address
- 25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697 - Phone
- (971) 224-2040
- NPI assigned
- Apr 17, 2014
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 323372 | OR | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 323372 | OR | Yes |
Addresses
Primary practice location
25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
Mailing address
17360 Holy Names Dr
Lake Oswego, OR 97034-5133
Phone (503) 675-2004
Other providers in Wilsonville, OR
- Jeffery Alan Brooks
- Addison McKenna Alexys Brown
- Brooke Brown
- Joyce Wangsgard Brown
- Caitlin Ashley Bruns
- Madeleine Bucci
- Andrew James Buchele
- John A Bullock
- Melodie Dawn Burdette
- Margaret Burkes
All providers in Wilsonville, OR · Occupational Therapy Assistant 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 17, 2014. 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.