Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. REBECCA-KELLY GRANT CLARK, OTR/L
ActiveMS. REBECCA-KELLY GRANT CLARK, OTR/L is a Pediatric Occupational Therapist healthcare provider located in PORTLAND, Oregon. NPI 1104396589 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · PORTLAND, OR
Registration Details
- NPI Number
- 1104396589
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2018 (7.6832582199622 yrs)
- Last Updated
- Nov 28, 2018
- License
-
275015 (OR)
Practice Information
- Address
-
3101 SW SAM JACKSON PARK RDPORTLAND, OR, 972393095Browse OR providers · Browse ZIP 97239
- Phone
- 5032213429
- Fax
- 5032943240
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. LORETTA GIMSE | OTR | 1639130743 |
| NANCY ANN BROWN | OTR/MA | 1083728216 |
| REBECCA ANNE PETERSON | OT | 1699872473 |
| MICHAELA A KISTLER | OT | 1912037110 |
| DIEDRA M PINE | MOT | 1942321104 |
| KRISTY K MCFARLAND | MOT, OTRL | 1013112416 |
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.