Marie Trevisan
Occupational Therapist Mental Health
4110 Ne Tillamook St Apt 307
Portland
, Oregon 97212-5359
Marie Trevisan
Occupational Therapist Mental Health
4110 Ne Tillamook St Apt 307
Portland
, Oregon 97212-5359
(208) 596-8484
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About
Features
Specialties
- Occupational Therapist
- Mental Health
Languages spoken
- English
Location
First Address
- Marie Trevisan
- 4110 Ne Tillamook St Apt 307
- Portland, OR
- Zip : 97212-5359
- Phone : (208) 596-8484
Second Address
- Marie Trevisan
- 4110 Ne Tillamook St Apt 307
- Portland, OR
- Zip : 97212-5359
- Phone : (208) 596-8484
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 397332 | OR |
| N | 225XM0800X | Mental Health | 397332 | OR |
National Provider Identifier
| NPI | 1639782386 |
|---|---|
| Provider Name | Marie Trevisan |
| First Address | Portland, OR 97212-5359 |
| Second Address | Portland, OR 97212-5359 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2020 |
| Last Update Date | 24/08/2020 |
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.