NPI 1114362712

Mud Spoons & Swings LLC

Organisation Occupational Therapist Portland, OR

Practice location

Address: 2818 SE 75th Ave, Portland, OR 97206-1856
Phone: (503) 349-9007
Fax: (877) 239-8868

Authorised official

Name: Dana Yvonne Yanoch
Title: Occupational Therapist
Phone: (503) 349-9007

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 1054075 (OR)

Other Occupational Therapist providers in Oregon →

Registry record

NPI: 1114362712
Entity type: Organization
NPI issued: 8 May 2013
Record last updated: 8 May 2013

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.