MEDICARE: LAUREN ZATEZALO OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1467384677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ZATEZALO OTR/L

Provider Business Mailing Address
First Line	:	3033 NE OVERLOOK DR APT 1038
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97124-7210
Country	:	US
Telephone Number	:	971-263-5209
Fax Number	:

Provider Business Practice Location Address
First Line	:	9135 SW BARNES RD STE 561
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97225-6643
Country	:	US
Telephone Number	:	503-216-2339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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