NPI 1215116637
Kelsy Marie Bakken, COTA
Practice location
- Address
- 290 Moyer Ln NW, Salem, OR 97304-3822
- Phone
- (503) 370-8990
- Fax
- (503) 363-4214
- Mailing address
- 8669 SW Holly St #110, Wilsonville, OR 97070-8628
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1215116637
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Nov 2007
- Record last updated
- 1 Nov 2007
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.