Healthcare Provider Details

I. General information

NPI: 1629250667
Provider Name (Legal Business Name): HEATHER OEN SAVIAGE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7540 N 19TH AVE STE 200
PHOENIX AZ
85021-7967
US

IV. Provider business mailing address

45050 SW SEGHERS RD
GASTON OR
97119-9186
US

V. Phone/Fax

Practice location:
  • Phone: 888-873-4221
  • Fax: 888-543-2289
Mailing address:
  • Phone: 503-357-1990
  • Fax: 503-357-1990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number998351
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: