Healthcare Provider Details

I. General information

NPI: 1295811586
Provider Name (Legal Business Name): MARGO JOYCELLE ADLER-TRAINES OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17645 SW 106TH AVE
TUALATIN OR
97062-8405
US

IV. Provider business mailing address

17645 SW 106TH AVE
TUALATIN OR
97062-8405
US

V. Phone/Fax

Practice location:
  • Phone: 503-612-9015
  • Fax:
Mailing address:
  • Phone: 503-612-9015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberA37885
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: