Johanka Stavenik
Occupational Therapist - Gerontology
5701 Sw Multnomah Blvd
Portland
, Oregon 97219-3195
Johanka Stavenik
Occupational Therapist - Gerontology
5701 Sw Multnomah Blvd
Portland
, Oregon 97219-3195
(971) 224-2004
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Johanka Stavenik
- 25117 Sw Parkway Ave Suite D
- Wilsonville, OR
- Zip : 97070-9697
- Phone : (971) 224-2004
Second Address
- Johanka Stavenik
- 5701 Sw Multnomah Blvd
- Portland, OR
- Zip : 97219-3195
- Phone : (503) 244-1107
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology |
National Provider Identifier
| NPI | 1174939524 |
|---|---|
| Provider Name | Johanka Stavenik |
| First Address | Wilsonville, OR 97070-9697 |
| Second Address | Portland, OR 97219-3195 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2014 |
| Last Update Date | 07/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.