Healthcare Provider Details

I. General information

NPI: 1891280749
Provider Name (Legal Business Name): JULIETTE REINE PIERCE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2018
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16081 SE EIDER CT
DAMASCUS OR
97089-6809
US

IV. Provider business mailing address

16081 SE EIDER CT
DAMASCUS OR
97089-6809
US

V. Phone/Fax

Practice location:
  • Phone: 708-772-2599
  • Fax: 503-272-9393
Mailing address:
  • Phone: 708-772-2599
  • Fax: 503-272-9393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number400872
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: