NPI 1003075417

Nicole Elledge, OTR

Practitioner Occupational Therapist Lake Oswego, OR

Practice location

Address: 3900 Kruse Way Pl, Lake Oswego, OR 97035-2512
Phone: (503) 607-0566
Mailing address: 23532 SW Stonehaven St, Sherwood, OR 97140-7076

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 1060547 (OR)

Other Occupational Therapist providers in Oregon →

Registry record

NPI: 1003075417
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2008
Record last updated: 6 May 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.