Healthcare Provider Details

I. General information

NPI: 1275842429
Provider Name (Legal Business Name): ARMWORKS HAND THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2010
Last Update Date: 04/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10121 SE SUNNYSIDE RD STE 208
CLACKAMAS OR
97015-5750
US

IV. Provider business mailing address

24076 SE STARK ST STE 200
GRESHAM OR
97030-3376
US

V. Phone/Fax

Practice location:
  • Phone: 503-794-0103
  • Fax: 503-794-0104
Mailing address:
  • Phone: 503-674-7860
  • Fax: 503-674-7642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number1023386
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JENNE MARIE GLOVER
Title or Position: BUSINESS MANAGER
Credential:
Phone: 503-674-7860