NPI 1033649694

Bright Spot Pediatric Therapy LLC

Organisation Pediatric Occupational Therapist Portland, OR

Practice location

Address: 1425 N Killingsworth St, Portland, OR 97217-4541
Phone: (503) 575-9402
Fax: (888) 769-4431

Authorised official

Name: Ryan Moskal
Title: Owner
Phone: (503) 850-8154

Registered specialties (3)

Pediatric Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X Licence 1042968 (OR)

Other Occupational Therapist providers in Oregon →

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

Pediatric Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X

Registry record

NPI: 1033649694
Entity type: Organization
NPI issued: 15 Jun 2017
Record last updated: 3 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.