NPI 1124612833

Tabita Luca Foghis

Practitioner Occupational Therapy Assistant Portland, OR

Practice location

Address: 812 SE 48th Ave, Portland, OR 97215-1724
Phone: (503) 231-7170
Mailing address: 2645 SW Willow Pkwy, Gresham, OR 97080-9563

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

Other Occupational Therapy Assistant providers in Oregon →

Registry record

NPI: 1124612833
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2021
Record last updated: 23 Feb 2021

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.