Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 1007590 | OR |
NPI | 1518420116 |
---|---|
Provider Name | Mrs. Jill S Ritchie |
First Address | Eugene, OR 97408-7209 |
Second Address | Eugene, OR 97401-1774 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2019 |
Last Update Date | 10/04/2019 |