Healthcare Provider Details

I. General information

NPI: 1922371947
Provider Name (Legal Business Name): ARMWORKS HAND THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2012
Last Update Date: 04/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24076 SE STARK ST SUITE 200
GRESHAM OR
97030-3373
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 503-491-1666
  • Fax: 503-491-1667
Mailing address:
  • Phone: 503-674-7860
  • Fax: 503-674-7642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

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