Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 225XP0200X | Occupational Therapist - Pediatrics | 254222 | OR |
NPI | 1033381629 |
---|---|
Provider Name | Rachel Salisbury |
First Address | Portland, OR 97219-5224 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2008 |
Last Update Date | 17/09/2009 |