Whalio Doctors

NPI 1073222345

Jessica Fouts, COTA

Practitioner Occupational Therapy Assistant Salem, OR

Practice location

Address
3445 Boone Rd SE, Salem, OR 97317-9336
Phone
(503) 576-3000
Mailing address
25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 330779 (OR)

Registry record

NPI
1073222345
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Nov 2022
Record last updated
15 Nov 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.