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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW JOHN MUNDT-FETTKETHER

Active

ANDREW JOHN MUNDT-FETTKETHER is a Occupational Therapist healthcare provider located in PORTLAND, Oregon. NPI 1114564481 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · PORTLAND, OR

Registration Details

NPI Number
1114564481
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2019 (6.7040242826511 yrs)
Last Updated
Dec 5, 2019
License
413330 (OR)

Practice Information

Address
5330 NE PRESCOTT ST
PORTLAND, OR, 972182158
Browse OR providers · Browse ZIP 97218
Phone
5032886585
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in PORTLAND, OR

Name Credential NPI
MS. JULIE A. DROMGOOLE OT 1639152101
MRS. NATALIA D RINARD OT 1255305249
LISA MARY PORTER OT 1477512531
MRS. DEEDRA MARIE WEILL OTR/L 1053375436
KERSTI PETTIT-KEKEL OT 1184639684
KIMBERLY ANN MCKEARNAN OT 1861408353
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.