Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | 310983 | OR |
N | 225XE1200X | Ergonomics | 310983 | OR |
N | 225XG0600X | Occupational Therapist - Gerontology | 310983 | OR |
N | 225XH1200X | Occupational Therapist - Hand | 310983 | OR |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 310983 | OR |
NPI | 1548512049 |
---|---|
Provider Name | David A Nunn |
First Address | Portland, OR 97213-4905 |
Second Address | Portland, OR 97213-4905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2012 |
Last Update Date | 26/10/2015 |