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General NPI Number Information
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NPI Number | 1659046506
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Entity Type | Individual
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Provider Name | ELIZABETH YAY-GERWIG OTR/L, OTD
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Gender | Female
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 19250 SW 65TH AVE STE 125
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City | TUALATIN
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State | OR
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Zip | 97062-7745
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Country | US
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Telephone | 503-413-4505
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6689
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City | PORTLAND
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State | OR
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Zip | 97228-6689
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Country | US
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Telephone | 503-413-3900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 431043
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 20888
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License Number State | CA
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