Christina Elizabeth Beaudoin, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

336166 Issued in OR

Practice address

25117 SW Parkway Ave
Ste D
Wilsonville, OR 97070-9697

Phone

(503) 570-3665

NPI assigned

Dec 30, 2014

Last updated

Dec 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1972991818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 FULTON ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321806",
            "telephone_number": "503-538-2108",
            "fax_number": "503-538-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "address_2": "STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697",
            "telephone_number": "503-570-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDOIN",
        "first_name": "CHRISTINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "336166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven William Bass II, PHARM.D.
• Carol Bassett, LMT
• Jason Richard Bauer, MD
• Ronald Eric Beaman, PHARMD
• Shannon Beaman, PHARMD
• Jessica Beers
• Karly Colleen Beers, SLP
• Tracy M Behler, MA, CCC-SLP
• Joan Cecelia Belady, PT
• Suzanne Marie Belatti, MSPT, DPT

• Occupational Therapist in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.