NPI 1154639516

Stacy Lynn Medina, OTRL

Practitioner Occupational Therapist Oregon City, OR

Practice location

Address: 1680 Molalla Ave., Oregon City, OR 97045
Phone: (503) 655-2588
Fax: (503) 655-8791
Mailing address: 4560 SE International Way STE. 100, Milwaukie, OR 97222

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 259914 (OR)

Other Occupational Therapist providers in Oregon →

Registry record

NPI: 1154639516
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2010
Record last updated: 20 Sep 2010

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.