Mrs. Sue Ann Wimmer
Mental Health Occupational Therapist - Pediatrics
3878 Beverly Ave Ne Bldg H Suite 11
Salem
, Oregon 97305-1394
Mrs. Sue Ann Wimmer
Mental Health Occupational Therapist - Pediatrics
3878 Beverly Ave Ne Bldg H Suite 11
Salem
, Oregon 97305-1394
(503) 576-4528
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About
Features
Specialties
- Mental Health
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Sue Ann Wimmer
- 3878 Beverly Ave Ne Bldg H Suite 11
- Salem, OR
- Zip : 97305-1394
- Phone : (503) 576-4528
Second Address
- Mrs. Sue Ann Wimmer
- 3878 Beverly Ave Ne Bldg H Suite 11
- Salem, OR
- Zip : 97305-1394
- Phone : (503) 576-4528
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health | 418863 | OR |
| N | 225XP0200X | Occupational Therapist - Pediatrics | 418863 | OR |
National Provider Identifier
| NPI | 1952679656 |
|---|---|
| Provider Name | Mrs. Sue Ann Wimmer |
| First Address | Salem, OR 97305-1394 |
| Second Address | Salem, OR 97305-1394 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/12/2011 |
| Last Update Date | 17/01/2014 |
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.