Active NPI
Amanda Mary Hanlon, OTR/L
- Occupational Therapist
- Portland, OR
National Provider Identifier
1912274242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 266319
- Practice address
- 5701 SW Multnomah Blvd
Portland, OR 97219-3195 - Phone
- (503) 246-1505
- Fax
- (888) 522-4571
- NPI assigned
- Dec 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 266319 | OR | Primary |
Addresses
Primary practice location
5701 SW Multnomah Blvd
Portland, OR 97219-3195
Mailing address
5705 SW Main Avenue
Beaverton, OR 97005
Phone (860) 830-8139
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266319 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1912274242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 SW MAIN AVENUE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97005",
"telephone_number": "860-830-8139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 SW MULTNOMAH BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972193195",
"telephone_number": "503-246-1505",
"fax_number": "888-522-4571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLON",
"first_name": "AMANDA",
"middle_name": "MARY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "266319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.