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STEPHEN JAE NISEWANDER

Active

STEPHEN JAE NISEWANDER is a Occupational Therapy Assistant healthcare provider located in CRESWELL, Oregon. NPI 1659867042 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · CRESWELL, OR

Registration Details

NPI Number
1659867042
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2018 (8.0837840162803 yrs)
Last Updated
Jul 9, 2018

Practice Information

Address
735 S 2ND ST
CRESWELL, OR, 974267507
Browse OR providers · Browse ZIP 97426
Phone
5418953333
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in CRESWELL, OR

Name Credential NPI
NIKKI MARTIN COTA/L 1083100283
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.