Wandell, Nicole Renee

Wandell, Nicole Renee is an individual health care provider with primary practice located at 4805 Ne Glisan St Occupational Therapy, Portland OR 97213-2933. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wandell, Nicole Renee can be contacted via phone (150) 321-5650.

Contact Information

Primary practice address
4805 Ne Glisan St Occupational Therapy Portland OR 97213-2933
Phone: (150) 321-5650
Fax: (503) 215-6500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 296700 Oregon

Profile Details

NPI number 1326384546
LBN Legal business name Wandell, Nicole Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2012
Last updated Dec 15th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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