NPI 1659867042

Stephen Jae Nisewander

Practitioner Occupational Therapy Assistant Creswell, OR

Practice location

Address: 735 S 2nd St, Creswell, OR 97426-7507
Phone: (541) 895-3333
Mailing address: 791 Throne Dr APT 304, Eugene, OR 97402-7752

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: 1659867042
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jul 2018
Record last updated: 9 Jul 2018

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.