Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE ELLEDGE, OTR
Active Sole ProprietorNICOLE ELLEDGE, OTR is a Occupational Therapist healthcare provider located in LAKE OSWEGO, Oregon. NPI 1003075417 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LAKE OSWEGO, OR
Registration Details
- NPI Number
- 1003075417
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 2, 2008 (18.158969280459 yrs)
- Last Updated
- May 6, 2022
- License
-
1060547 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3900 KRUSE WAY PLLAKE OSWEGO, OR, 970352512Browse OR providers · Browse ZIP 97035
- Phone
- 5036070566
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in LAKE OSWEGO, OR
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH IRWIN JOHNSON | — | 1033373220 |
| MRS. KAY SUSAN RHONEY | OTR | 1861642944 |
| MS. ANNA MARIE DAVIDSON | OTR/L | 1730327180 |
| DARICE MERLE HEYNS | — | 1629372065 |
| LISA MCCARTHY | — | 1437426038 |
| LIZELLE CHANDLER | — | 1013319532 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.