Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 214072 | OR |
NPI | 1053350702 |
---|---|
Provider Name | Virginia Harrison Saunders |
First Address | Eugene, OR 97401-6019 |
Second Address | Eugene, OR 97401-6019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
162842 | (05) | OR |
J458901 | PACIFICSOURCE (01) | OR |