Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 347000 | OR |
Y | 225XH1200X | Occupational Therapist - Hand | 347000 | OR |
NPI | 1255704995 |
---|---|
Provider Name | Hayley Jean Hoggarth |
First Address | Canby, OR 97013-1114 |
Second Address | Woodburn, OR 97071-2811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2015 |
Last Update Date | 07/11/2020 |